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FAMILY CARE CENTER PC NPI 1508832411


NPI Information

NPI: 1508832411
Provider Name: FAMILY CARE CENTER PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1001 NW CANAL BLVD STE 101
REDMOND, OR
ZIP 97756
Phone: (541) 548-8088
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FAMILY CARE CENTER PC is a family medicine in Redmond, OR. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. FAMILY CARE CENTER PC NPI is 1508832411. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1001 NW CANAL BLVD STE 101
REDMOND, OR
ZIP 97756-697
Phone: (541) 548-8088
Fax: (541) 548-8018

The provider's authorized official is Rose J Kenny .
The authorized official title is Physician and has the following contact phone number (541) 548-8088.

The enumeration date for this NPI number is 2/28/2006 and was last updated on 1/25/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineMD23253OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1228793MEDICAIDOREGON
21194975037OTHEROREGONINDIVIDUAL NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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