| Family Medicine Llc | |
|
693 36th Ave Ne Salem OR 97301-4741 | |
| (503) 581-8899 | |
| Not Available |
| Full Name | Family Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 693 36th Ave Ne, Salem, Oregon |
| Authorized Official Name and Position | Brett Robinson (OWNER) |
| Authorized Official Contact | 5035818899 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine Llc 693 36th Ave Ne Salem OR 97301-4741 Ph: () - | Family Medicine Llc 693 36th Ave Ne Salem OR 97301-4741 Ph: (503) 581-8899 |
| NPI Number | 1790965853 |
|---|---|
| Provider Enumeration Date | 11/06/2007 |
| Last Update Date | 11/06/2007 |
| Medicare PECOS PAC ID | 4688655061 |
|---|---|
| Medicare Enrollment ID | O20040601000589 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790965853 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD17705 (Oregon) | Primary |
| Provider Name | Brett Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518028117 PECOS PAC ID: 0749261121 Enrollment ID: I20100802000516 |
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