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Organization

PREGNANCY CARE CENTER OF GRANTS PASS

Active
Parent organization
PREGNANCY CARE CENTER OF GRANTS PASS
Organization subpart
Yes

Provider details

NPI number
Legal business name
PREGNANCY CARE CENTER OF GRANTS PASS
Authorized official
ROBIN DVELL FULLER (EXECUTIVE DIRECTOR)
(541) 479-6264
Entity
Organization

Contact information

Practice address
714 S.E. 8TH ST, GRANTS PASS, OR 97526
(541) 479-6264
(541) 474-2112
Mailing address
714 S.E. 8TH ST, GRANTS PASS, OR 97526
(541) 479-6264
(541) 474-2112

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD17096
OR

Other

Enumeration date
01/14/2014
Last updated
01/14/2014
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