NPI: 1376917641 · ROSEBURG, OR 97471 · Primary Care Clinic/Center · NPI assigned 11/24/2015
| Authorized Official | CLEVELAND, EILEEN (ADMINISTRATOR) |
| NPI Enumeration Date | 11/24/2015 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 16 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 16 | 12 | $1K |