| Sublimity Medical Clinic | |
|
114 Se Church St Sublimity OR 97385-9714 | |
| (503) 769-2259 | |
| Not Available |
| Full Name | Sublimity Medical Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 114 Se Church St, Sublimity, Oregon |
| Authorized Official Name and Position | Lynda Fraser (CLINIC DIRECTOR) |
| Authorized Official Contact | 5037699254 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sublimity Medical Clinic Po Box 886 Sublimity OR 97385-0886 Ph: (503) 769-2259 | Sublimity Medical Clinic 114 Se Church St Sublimity OR 97385-9714 Ph: (503) 769-2259 |
| NPI Number | 1225225709 |
|---|---|
| Provider Enumeration Date | 09/28/2007 |
| Last Update Date | 09/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225225709 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Sublimity Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 114 Se Church St, Sublimity, OR 97385 Phone: 503-769-2259 Fax: 503-769-8049 | |
Bridgeway-woodburn Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11656 Sublimity Rd Se, Sublimity, OR 97385 Phone: 503-238-0769 Fax: 503-889-2599 |