| Orchid Oakridge Clinic, Pc | |
|
24934 Fir Grove Ln Elmira OR 97437 | |
| (541) 782-8242 | |
| (503) 862-5060 |
| Full Name | Orchid Oakridge Clinic, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 24934 Fir Grove Ln, Elmira, Oregon |
| Authorized Official Name and Position | Ariana Lee (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 9713734165 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Orchid Oakridge Clinic, Pc Po Box 546 Gresham OR 97030-0132 Ph: (541) 782-8242 | Orchid Oakridge Clinic, Pc 24934 Fir Grove Ln Elmira OR 97437 Ph: (541) 782-8242 |
| NPI Number | 1881274348 |
|---|---|
| Provider Enumeration Date | 04/09/2021 |
| Last Update Date | 02/21/2025 |
| Medicare PECOS PAC ID | 3476786609 |
|---|---|
| Medicare Enrollment ID | O20210617002562 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881274348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |