Organization · NPI-2

Allcare Medical Group LLC

Family Medicine · Grants Pass, OR

NPI number1699360412
StatusActive
Last updated in NPPESAug 23, 2022

Details

NPI
1699360412
Entity type
Organization (NPI-2)
Legal business name
Allcare Medical Group LLC
Organization subpart
No
Enumeration date
Mar 3, 2021
Certification date
Aug 23, 2022
Last updated
Aug 23, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

124 Nw Midland Ave
Grants Pass, OR 97526-1269

Phone 541-476-8859

Mailing address

1701 Ne 7th St
Grants Pass, OR 97526-1319

Phone 541-471-4106

Other practice locations

101 1st St
Glendale, OR 97442-9640

Phone 541-832-5400

341 E Cottage Park Dr Ste 1
Cave Junction, OR 97523-1238

Phone 541-450-3625

Authorized official

Donna Duval
Sr. Director
5414714106

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