Glendale Community Primary Care

NPI #1114480399 in Glendale, Oregon

Provider Information

NPI Number: 1114480399
Entity Type: Organization
Organization Name: Glendale Community Primary Care
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Apr 13, 2019
Last Updated: Aug 10, 2020

Practice Location

Address: 101 1ST ST
City: Glendale
State: Oregon
ZIP Code: 97442-9640
Phone: (541) 832-5400

Authorized Official

Name: DR. LEONA MARIE ANDERSON, DNP, AGPCNP-C
Title: PRESIDENT
Phone: (541) 832-5400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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