Pioneer Family Medicine Pc

LBN: Pioneer Family Medicine Pc
Pioneer Family Medicine Pc is an health care organization with primary practice located at 452 Nw 1St Ave , Canby OR 97013-3532. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Pioneer Family Medicine Pc can be contacted via phone (503) 266-9000, or through Ewbank, Shawn A via phone (503) 266-9000.

Contact Information

Primary practice address
452 Nw 1St Ave Canby OR 97013-3532
Phone: (503) 266-9000
Fax: (503) 266-9200
Website:
Map and Directions
Authorized official contact:
Name: Ewbank, Shawn A Doctor of Medicine (MD)
Phone: (503) 266-9000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD21648 Oregon

Profile Details

NPI number 1760654479
LBN Legal business name Pioneer Family Medicine Pc
DBA Doing business as
Authorized official Ewbank, Shawn A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 2nd, 2008
Last updated Jun 18th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760654479 NPPES
Oregon MEDICAID 133934

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