Green Mountain Medical Clinic PC

NPI #1912188715 in Oakridge, Oregon

Provider Information

NPI Number: 1912188715
Entity Type: Organization
Organization Name: Green Mountain Medical Clinic PC
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Nov 20, 2007
Last Updated: Oct 20, 2010

Practice Location

Address: 48260 HILLS ST
City: Oakridge
State: Oregon
ZIP Code: 97463-9409
Phone: (541) 782-4201

Authorized Official

Name: DR. WARREN GEORGE GRIFFITH, D.O.
Title: PRESIDENT
Phone: (541) 782-4201

Specialties & Taxonomy Codes

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

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