Geary Street Clinic

NPI #1265574321 in Albany, Oregon

Provider Information

NPI Number
1265574321
Entity Type
Organization
Organization Name
Geary Street Clinic
Subpart
Yes (part of a larger organization)
Parent Organization
MEDVANTX, INC.
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Feb 13, 2007
Last Updated
Dec 4, 2012

Practice Location

Address
1700 GEARY ST SE
City
Albany
State
Oregon
ZIP Code
97322-6842
Phone
(541) 812-5620

Authorized Official

Name
MR. KENNY HEINE
Title
DIRECTOR OF OPERATIONS
Phone
(858) 625-2990

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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