Organization
G STREET INTEGRATED HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER OCKER (EXECUTIVE DIRECTOR)
(541) 735-9420
Entity
Organization
Contact information
Practice address
1435 G ST, SPRINGFIELD, OR 97477-4113
(541) 735-9420
(541) 747-9870
Mailing address
1435 G ST, SPRINGFIELD, OR 97477-4113
(541) 514-5213
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/02/2019
Last updated
04/18/2023
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