Organization
SUNRISE FAMILY CLINIC, LLC
Active
Other names
Sunrise Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA MARIE TERRILL (OFFICE MANAGER)
(503) 474-3600
Entity
Organization
Contact information
Practice address
320 SE BAKER ST, MCMINNVILLE, OR 97128
(503) 474-3600
(503) 474-3601
Mailing address
320 SE BAKER ST, MCMINNVILLE, OR 97128-6038
(503) 474-3600
(503) 474-3601
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
200350072NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500664505
—
OR
Enumeration date
03/23/2018
Last updated
03/23/2018
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