| Hood River Integrative Medicine Pc | |
|
1029 May St Hood River OR 97031-1514 | |
| (541) 645-0391 | |
| Not Available |
| Full Name | Hood River Integrative Medicine Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1029 May St, Hood River, Oregon |
| Authorized Official Name and Position | Yana Little (OWNER) |
| Authorized Official Contact | 5416450391 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hood River Integrative Medicine Pc 668 Parsons Rd Hood River OR 97031-8792 Ph: (541) 645-0391 | Hood River Integrative Medicine Pc 1029 May St Hood River OR 97031-1514 Ph: (541) 645-0391 |
| NPI Number | 1033625082 |
|---|---|
| Provider Enumeration Date | 12/28/2017 |
| Last Update Date | 12/28/2017 |
| Medicare PECOS PAC ID | 0648532770 |
|---|---|
| Medicare Enrollment ID | O20180329000551 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033625082 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Yana Karina Shaw Little |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285893958 PECOS PAC ID: 8123299468 Enrollment ID: I20140711000297 |
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