PEACEHEALTH MEDICAL GROUP
3333 Riverbend Dr
Springfield, OR 97477
541-222-5800
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336S0011X | Suppliers - Pharmacy - Specialty Pharmacy | WA | PHNR.FO.60259219 |
N | 333600000X | Suppliers - Pharmacy | OR | RP-0000785-CS |
Y | 3336C0003X | Suppliers - Pharmacy | AK | PHAO1124 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
053967 | OR | MEDICAID | |
PK | 2077299 | OTHER |