Organization
ALL SEASONS FAMILY MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDY MARIE PINSONNEAULT D.O (CLINIC OWNER/DOCTOR)
(541) 935-2035
Entity
Organization
Contact information
Practice address
25045 DUNHAM AVE., VENETA, OR 97487
(541) 935-2035
(541) 935-6608
Mailing address
PO BOX 1539, VENETA, OR 97487-1539
(541) 935-2035
(541) 935-6608
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
DO27753
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279166
—
OR
Enumeration date
05/13/2016
Last updated
05/28/2016
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