Redmond Medical Clinic
LBN: Redmond Internal Medicine Clinic,Llp
Redmond Medical Clinic is an health care organization with primary practice located at 1245 Nw 4Th Street Ste 201, Redmond OR 97756-1680. The organization recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is the primary health care specialty.
Redmond Internal Medicine Clinic,Llp can be contacted via phone (541) 323-4545, or through Mcmillian, Lorelei via phone (541) 323-4540.
Contact Information
Primary practice address
1245 Nw 4Th Street Ste 201
Redmond OR 97756-1680
Phone: (541) 323-4545
Fax: (541) 323-4546
Website:
Authorized official contact:
Name: Mcmillian, Lorelei Family Nurse Practitioner (FNP)
Phone: (541) 323-4540
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD19294/MD23086 | Oregon |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X |
Profile Details
| NPI number | 1164436085 |
|---|---|
| LBN Legal business name | Redmond Internal Medicine Clinic,Llp |
| DBA Doing business as | Redmond Medical Clinic |
| Authorized official | Mcmillian, Lorelei Family Nurse Practitioner (FNP) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 28th, 2006 |
| Last updated | May 26th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164436085 | NPPES |
| Oregon | MEDICAID | 287491 | |
| Oregon | MEDICAID | 72376 |
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