Organization
PHYSICIANS MEDICAL CENTER, P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS D GRAY (ADMINISTRATOR)
(503) 434-8285
Entity
Organization
Contact information
Practice address
2435 NE CUMULUS AVE, SUITE A, MCMINNVILLE, OR 97128-8805
(503) 472-6161
(503) 434-8498
Mailing address
2435 NE CUMULUS AVE, SUITE A, MCMINNVILLE, OR 97128-8805
(503) 472-6161
(503) 434-8498
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
200040842RN
OR
Other
Enumeration date
07/06/2016
Last updated
09/12/2022
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