| Treasure Valley Women And Family Medicine | |
|
1219 Sw 4th Ave Unit 2 Ontario OR 97914-4500 | |
| (541) 881-2800 | |
| (541) 881-2825 |
| Full Name | Treasure Valley Women And Family Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 1219 Sw 4th Ave Unit 2, Ontario, Oregon |
| Authorized Official Name and Position | Kenneth Robert Hart (CEO) |
| Authorized Official Contact | 2086427364 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Treasure Valley Women And Family Medicine 1441 Ne 10th Ave Payette ID 83661-5420 Ph: (208) 642-9376 | Treasure Valley Women And Family Medicine 1219 Sw 4th Ave Unit 2 Ontario OR 97914-4500 Ph: (541) 881-2800 |
| NPI Number | 1316402258 |
|---|---|
| Provider Enumeration Date | 02/05/2019 |
| Last Update Date | 02/01/2024 |
| Medicare PECOS PAC ID | 0547169591 |
|---|---|
| Medicare Enrollment ID | O20190415001111 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316402258 | NPI | - | NPPES |
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