| Orchid Health - Wade Creek | |
|
535 Ne 6th Ave Estacada OR 97023-9312 | |
| (541) 632-3031 | |
| Not Available |
| Full Name | Orchid Health - Wade Creek |
|---|---|
| Speciality | Clinic/Center |
| Location | 535 Ne 6th Ave, Estacada, Oregon |
| Authorized Official Name and Position | Orion Falvey (PRESIDENT/FOUNDER) |
| Authorized Official Contact | 9073140100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Orchid Health - Wade Creek Po Box 546 Gresham OR 97030-0132 Ph: (541) 782-8242 | Orchid Health - Wade Creek 535 Ne 6th Ave Estacada OR 97023-9312 Ph: (541) 632-3031 |
| NPI Number | 1578917076 |
|---|---|
| Provider Enumeration Date | 04/20/2016 |
| Last Update Date | 10/01/2021 |
| Medicare PECOS PAC ID | 3476786609 |
|---|---|
| Medicare Enrollment ID | O20160621001050 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578917076 | NPI | - | NPPES |
| 500721884 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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