| Jim Mccauley Md Pc | |
|
427 Tanager Dr Redmond OR 97756-8389 | |
| (541) 420-9482 | |
| (541) 323-3794 |
| Full Name | Jim Mccauley Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 427 Tanager Dr, Redmond, Oregon |
| Authorized Official Name and Position | Jim Mccauley (OWNER) |
| Authorized Official Contact | 7315713491 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jim Mccauley Md Pc 427 Tanager Dr Redmond OR 97756-8389 Ph: (541) 420-9482 | Jim Mccauley Md Pc 427 Tanager Dr Redmond OR 97756-8389 Ph: (541) 420-9482 |
| NPI Number | 1356882369 |
|---|---|
| Provider Enumeration Date | 03/10/2017 |
| Last Update Date | 03/10/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356882369 | NPI | - | NPPES |
| 083662 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD20134 (Oregon) | Primary |
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