Organization
PRAXIS HEALTH, PC
Active
Other names
La Grande Family Medicine Urgent Care, Praxis Medical Group Inc
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA M REAGAN (REVENUE CYCLE DIRECTOR)
(541) 966-6136
Entity
Organization
Contact information
Practice address
2011 4TH STREET, LA GRANDE, OR 97850
(541) 963-4139
(541) 429-6612
Mailing address
PO BOX 1517, PENDLETON, OR 97801-0410
(877) 708-1119
(541) 278-8349
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130225
—
OR
Enumeration date
09/09/2020
Last updated
08/30/2021
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