Pioneer Family Medicine PC

NPI #1760654479 in Canby, Oregon

Provider Information

NPI Number: 1760654479
Entity Type: Organization
Organization Name: Pioneer Family Medicine PC
Primary Specialty: Family Medicine
Enumeration Date: Apr 2, 2008
Last Updated: Jun 18, 2008

Practice Location

Address: 452 NW 1ST AVE
City: Canby
State: Oregon
ZIP Code: 97013-3532
Phone: (503) 266-9000

Authorized Official

Name: SHAWN A EWBANK, M.D.
Title: PRESIDENT
Phone: (503) 266-9000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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