| Keizer Station Medical Office | |
|
5940 Ulali Dr Ne Keizer OR 97303-1500 | |
| (800) 813-2000 | |
| (503) 286-6879 |
| Full Name | Keizer Station Medical Office |
|---|---|
| Speciality | General Practice |
| Location | 5940 Ulali Dr Ne, Keizer, Oregon |
| Authorized Official Name and Position | Stephen Shawn Barton (EXECUTIVE DIRECTOR, REVENUE CYCLE) |
| Authorized Official Contact | 5038132440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keizer Station Medical Office 500 Ne Multnomah St Portland OR 97232-2023 Ph: (800) 813-2000 | Keizer Station Medical Office 5940 Ulali Dr Ne Keizer OR 97303-1500 Ph: (800) 813-2000 |
| NPI Number | 1629520697 |
|---|---|
| Provider Enumeration Date | 10/26/2016 |
| Last Update Date | 06/01/2021 |
| Certification Date | 06/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629520697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (NU) | Primary |
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