Organization
OMHC, LLC
Active
Other names
Oregon Man Clinics
Organization subpart
No
Provider details
NPI number
Authorized official
ELSY CEJA RUIZ (OFFICE MANAGER)
(541) 505-8773
Entity
Organization
Contact information
Practice address
595 SW BLUFF DR STE A, BEND, OR 97702-1283
(541) 508-4858
Mailing address
PO BOX 70673, SPRINGFIELD, OR 97475-0133
(541) 285-3108
(541) 780-6069
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/07/2018
Last updated
06/03/2021
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