Organization
WILD ROSE MEDICAL CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN CORDES MD (PRESIDENT)
(541) 686-4153
Entity
Organization
Contact information
Practice address
401 E 10TH AVE, SUITE 250, EUGENE, OR 97401-3317
(541) 686-4153
(541) 686-3468
Mailing address
401 E 10TH AVE, SUITE 250, EUGENE, OR 97401-3317
(541) 686-4153
(541) 686-3468
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16009
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
072173
—
OR
Enumeration date
01/08/2007
Last updated
10/10/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us