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Organization
SUNRISE FAMILY CLINIC, LLC
Active
Organization
SUNRISE FAMILY CLINIC, LLC
Active
Other names
Sunrise Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA MARIE TERRILL (OFFICE MANAGER)
(503) 474-3600
Entity
Organization
Contact information
Practice address
320 SE BAKER ST, MCMINNVILLE, OR 97128
(503) 474-3600
(503) 474-3601
Mailing address
320 SE BAKER ST, MCMINNVILLE, OR 97128-6038
(503) 474-3600
(503) 474-3601
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
200350072NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500664505
—
OR
Enumeration date
03/23/2018
Last updated
03/23/2018
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