| Green Mountain Medical Clinic Pc | |
|
48260 Hills St Oakridge OR 97463-9409 | |
| (541) 782-4201 | |
| (541) 782-4203 |
| Full Name | Green Mountain Medical Clinic Pc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 48260 Hills St, Oakridge, Oregon |
| Authorized Official Name and Position | Warren George Griffith (PRESIDENT) |
| Authorized Official Contact | 5417824201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Green Mountain Medical Clinic Pc 48260 Hills St Oakridge OR 97463-9409 Ph: (541) 782-4201 | Green Mountain Medical Clinic Pc 48260 Hills St Oakridge OR 97463-9409 Ph: (541) 782-4201 |
| NPI Number | 1912188715 |
|---|---|
| Provider Enumeration Date | 11/20/2007 |
| Last Update Date | 10/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912188715 | NPI | - | NPPES |
| 231498 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | DO10127 (Oregon) | Primary |
Five Rivers Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 48134 Hwy 58, Oakridge, OR 97463 Phone: 541-782-4068 Fax: 541-782-4113 | |
Orchid Health - Oakridge Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 47815 Highway 58, Oakridge, OR 97463 Phone: 541-782-8304 |