| Legacy Molalla Family Medicine | |
|
861 W Main St Molalla OR 97038-9352 | |
| (503) 874-5653 | |
| (503) 874-5680 |
| Full Name | Legacy Molalla Family Medicine |
|---|---|
| Speciality | Clinic/center |
| Location | 861 W Main St, Molalla, Oregon |
| Authorized Official Name and Position | Anna Loomis (CFO) |
| Authorized Official Contact | 5034155730 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Molalla Family Medicine Po Box 3417 Portland OR 97208-3417 Ph: (503) 413-3900 | Legacy Molalla Family Medicine 861 W Main St Molalla OR 97038-9352 Ph: (503) 874-5653 |
| NPI Number | 1861116055 |
|---|---|
| Provider Enumeration Date | 09/30/2022 |
| Last Update Date | 03/28/2023 |
| Certification Date | 03/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861116055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 261Q00000X | Clinic/center | () | Primary |
| 261QR1300X | Clinic/center - Rural Health | () | Secondary |
Family Medical Group of Molalla Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 861 W Main St, Molalla, OR 97038 Phone: 503-829-7374 Fax: 503-829-7347 |
Pmg Molalla Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Center St, Molalla, OR 97038 Phone: 034-053-7777 |
Molalla Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Center St, Molalla, OR 97038 Phone: 503-829-2273 Fax: 503-829-2291 |
Molalla Chiropractic & Naturopathic Clinic P.C. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 318 E Main St, Molalla, OR 97038 Phone: 503-829-2297 |