Grande Ronde Hospital INC.
Obstetrics & Gynecology in La Grande, OR. Organization (NPI-2).
NPI number1972545895
StatusActive
Last updated in NPPESNov 8, 2007
Details
- NPI
- 1972545895
- Entity type
- Organization (NPI-2)
- Legal business name
- Grande Ronde Hospital INC.
- Organization subpart
- No
- Enumeration date
- Jun 12, 2006
- Last updated
- Nov 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 394792 | OR | Yes |
Other names
- Grande Ronde Hospital Womens Clinic (Doing Business As)
Practice location
610 Sunset DrLa Grande, OR 97850-1248
Phone 541-963-2216 · Fax 541-962-1042
Mailing address
610 Sunset DrLa Grande, OR 97850-1248
Phone 541-963-2216 · Fax 541-962-1042
Authorized official
James Mattes
President
5419631469
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