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Merrill Clinic

Clinic/Center, Primary Care in Merrill, OR. Organization (NPI-2).

NPI number1982606158
StatusActive
Last updated in NPPESDec 22, 2011

Details

NPI
1982606158
Entity type
Organization (NPI-2)
Legal business name
Merrill Clinic
Organization subpart
No
Enumeration date
Jun 1, 2005
Last updated
Dec 22, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QP2300X Clinic/Center, Primary Care93006519ORYes

Practice location

125 N Lincoln St
Merrill, OR 97633-1030

Phone 541-798-5074 · Fax 541-798-5076

Mailing address

125 N Lincoln St
Merrill, OR 97633

Phone 541-798-5074 · Fax 541-798-5076

Authorized official

Michael Aaron Sheets
Owner Operator
5417985074

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