Organization
PPC GROUP LLC
Active
Other names
Prevention Plus Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ALISON ERDE MD (SOLE MEMBER)
(541) 726-1865
Entity
Organization
Contact information
Practice address
1800 CENTENNIAL BLVD, SUITE #6, SPRINGFIELD, OR 97477-4385
(541) 726-2179
Mailing address
1800 CENTENNIAL BLVD, 6, SPRINGFIELD, OR 97477-4385
(541) 726-2179
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MD23479
OR
Other
Enumeration date
09/22/2009
Last updated
10/26/2009
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