GREEN MOUNTAIN MEDICAL CLINIC PC (NPI# 1912188715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912188715 |
| Entity Type | Organization |
| Organization Name | GREEN MOUNTAIN MEDICAL CLINIC PC |
| Practice Address |
48260 Hills St Oakridge OR 97463-9409 |
| Practice Telephone | 5417824201 |
| Practice Fax Number | 5417824203 |
| Mailing Telephone | 5417824201 |
| Mailing Fax Number | 5417824203 |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2010-10-20 |
| Authorized Official Name | DR. WARREN GEORGE GRIFFITH (PRESIDENT) |
| Authorized Official Telephone | 5417824201 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
DO10127 | OR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 231498 | 05 |
| Street Address |
48260 HILLS ST |
| City | OAKRIDGE |
| State | OR |
| Zip Code | 97463-9409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598004327 | Jamie Nichole Lloyd | Counselor | 47815 Hwy 58, Oakridge, OR 97463 | 2013-02-14 |
| 1033363767 | Nicole Sulick | Massage Therapist | 47773 Hwy 58, Oakridge, OR 97463 | 2008-11-07 |
| 1386894442 | Laura Robson | Massage Therapist | 48149 E Commercial St., Oakridge, OR 97463 | 2008-09-25 |
| 1205901485 | Postal Pharmacy Inc | Pharmacy | 47809 Hwy 58, Oakridge, OR 97463 | 2006-11-22 |
| 1588088983 | Orchid Oakridge Clinic, P.C. | Clinic/Center | 47815 Highway 58, Oakridge, OR 97463 | 2014-02-06 |
| 1679636484 | Hans Edwin Weih | Physician Assistant | 48134 Hwy 58, Oakridge, OR 97463 | 2006-12-19 |
| 1205990041 | Icco LLC | Clinic/Center | 48134 Hwy 58, Oakridge, OR 97463 | 2006-12-19 |
| 1134354319 | Elaine M. Wright | Registered Nurse | 48397 Mcfarland Rd, Oakridge, OR 97463-8709 | 2009-05-18 |
| 1487865010 | Kathleen Diane Smith | Registered Nurse | 76491 Locust St, Oakridge, OR 97463-9425 | 2007-05-25 |
| 1164627261 | Jeryl M Cossette | Chiropractor | 76370 Rock Rd, Oakridge, OR 97463-9541 | 2007-06-19 |
| Find all providers in zip 97463 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1104447895 | Beyond Health LLC | Clinic/Center | 6440 Nw Mcmullen Ave, Portland, OR 97229-1158 | 2020-05-04 |
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| 1871153585 | Full Bloom Natural Medicine, LLC | Clinic/Center | 922 Nw Circle Blvd Ste 180, Corvallis, OR 97330-1483 | 2019-06-14 |
| 1831757475 | Structural Solutions Chiropractic | Clinic/Center | 121 Nw Everett St, Portland, OR 97209-4049 | 2019-05-29 |
| 1770147357 | Uptown Providers PC | Clinic/Center | 397 Warner Milne Rd, Oregon City, OR 97045-4045 | 2019-04-29 |
| 1720549058 | Barbara Gilbertson, Do, Inc. | Clinic/Center | 1803b Main St, Klamath Falls, OR 97601-2636 | 2019-03-28 |
| 1033674841 | Jeremy Mikolai Nd Inc | Clinic/Center | 2540 Ne M L King Blvd, Portland, OR 97212-3732 | 2019-02-06 |
| 1326531666 | Working Class Medicine LLC | Clinic/Center | 2133 N. Willis Blvd, Studio D, Portland, OR 97217 | 2018-06-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.