Organization
REDMOND INTERNAL MEDICINE CLINIC,LLP
Active
Other names
Redmond Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LORELEI MCMILLIAN FNP (OWNER)
(541) 323-4540
Entity
Organization
Contact information
Practice address
1245 NW 4TH STREET, STE 201, REDMOND, OR 97756-1680
(541) 323-4545
(541) 323-4546
Mailing address
1245 NW 4TH STREET, STE 201, REDMOND, OR 97756-1680
(541) 323-4545
(541) 323-4546
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD19294/MD23086
OR
207R00000X
Internal Medicine Physician
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287491
—
OR
05
—
72376
—
OR
Enumeration date
07/28/2006
Last updated
05/26/2022
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