All Seasons Family Medicine PC

Organization Active NPI Preferred Provider Organization · Veneta, OR

NPI 1962858464 · NPPES record last updated May 28, 2016

Key facts

NPI
1962858464
Entity type
Organization (NPI type 2)
Primary specialty
Preferred Provider Organization 305R00000X
License
DO27753 (OR)
Legal business name
ALL SEASONS FAMILY MEDICINE PC
Practice address
25045 Dunham Ave.
Veneta, OR 97487
Phone
(541) 935-2035
Fax
(541) 935-6608
NPI assigned
May 13, 2016
Organization subpart
No

Authorized official

Name
Dr. Judy Marie Pinsonneault, D.O
Title
Clinic Owner/Doctor
Phone
(541) 935-2035

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X DO27753 OR Yes

Addresses

Primary practice location

25045 Dunham Ave.
Veneta, OR 97487

Mailing address

PO Box 1539
Veneta, OR 97487-1539
Phone (541) 935-2035

Other identifiers

IdentifierTypeStateIssuer
279166MedicaidOR

Other providers in Veneta, OR

All providers in Veneta, OR · Preferred Provider Organization in Oregon

Sources for this page

Verify at the official NPI Registry.