| Sunrise Family Clinic, Llc | |
|
351 Se Baker St Mcminnville OR 97128-6039 | |
| (503) 474-3600 | |
| (503) 474-3601 |
| Full Name | Sunrise Family Clinic, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 351 Se Baker St, Mcminnville, Oregon |
| Authorized Official Name and Position | Jacqualine Marie Terrill Cooke (OWNER/PROVIDER) |
| Authorized Official Contact | 5034743600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Family Clinic, Llc 351 Se Baker St Mcminnville OR 97128-6039 Ph: (503) 474-3600 | Sunrise Family Clinic, Llc 351 Se Baker St Mcminnville OR 97128-6039 Ph: (503) 474-3600 |
| NPI Number | 1538594999 |
|---|---|
| Provider Enumeration Date | 09/04/2013 |
| Last Update Date | 09/04/2013 |
| Medicare PECOS PAC ID | 0840427167 |
|---|---|
| Medicare Enrollment ID | O20131212000662 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538594999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 200350072NP (Oregon) | Primary |
| Provider Name | Jacqualine M Terrill Cooke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285698555 PECOS PAC ID: 5597762559 Enrollment ID: I20061104000033 |
| Provider Name | Andrea M Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285963157 PECOS PAC ID: 6507991825 Enrollment ID: I20100311000878 |
| Provider Name | Susan E Speece |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124323050 PECOS PAC ID: 2668622150 Enrollment ID: I20140701000874 |
| Provider Name | Noelle Christine Mclaughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891051058 PECOS PAC ID: 5597070987 Enrollment ID: I20150813011466 |
| Provider Name | Adam F Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366920258 PECOS PAC ID: 5496006694 Enrollment ID: I20180927001826 |
Kaiser Permanente Mcminnville Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2700 Se Stratus Ave Unit 405, Mcminnville, OR 97128 Phone: 800-813-2000 | |
Transitional Life Care Clinic, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15604 Sw Rock Of Ages Rd, Mcminnville, OR 97128 Phone: 971-261-6130 Fax: 971-241-6146 | |
Virginia Garcia Memorial Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 627 Ne Evans St, Mcminnville, OR 97128 Phone: 503-434-7523 | |
Juliette's House Child Abuse Assessment Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1075 Sw Cedarwood Ave, Mcminnville, OR 97128 Phone: 503-435-1550 Fax: 503-435-1435 | |
Yamhill County Public Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 412 Ne Ford St, Mcminnville, OR 97128 Phone: 503-434-7525 Fax: 503-472-9731 | |
Lanning Family Chiropractic Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2300 Sw 2nd St Ste C, Mcminnville, OR 97128 Phone: 503-474-0664 Fax: 503-474-3856 | |
Jan Radzik, Md Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 349 Se Baker St, Mcminnville, OR 97128 Phone: 503-472-9438 Fax: 503-472-9439 |