Organization · Type 2 NPI
Pendleton Family Practice and Sports Medicine LLC
Primary Care Clinic/Center · Pendleton, OR
NPI number
1225538796
Active
Practice location
202 SE Dorion Ave
Pendleton, OR 97801-2576
Fax (541) 966-8387
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center | 261Q00000X | DO20295 (OR) |
| Primary Care Clinic/Center Primary | 261QP2300X | DO20295 (OR) |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
Other primary care clinic/center providers in Pendleton
About NPI 1225538796
Pendleton Family Practice and Sports Medicine LLC's National Provider Identifier is 1225538796, issued on Feb 20, 2018. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Pendleton, OR. The record was last updated on Jun 11, 2019.