Hermiston Medical Center

NPI 1467403329 - Family Medicine - 207Q00000X

NPI Details
NPI 1467403329
Enumeration Date 05/15/2006
Last Updated 03/26/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name THEODORE DOUGLAS THEODORE
Position PRESIDENT OF CORPORATION
Phone (541) 567-6434
Fax (541) 567-6019
Practice Location
600 NW 11TH ST
SUITE E 15
HERMISTON OR, 97838, US
Phone (541) 567-6434
Fax (541) 567-6019
Business Location
600 NW 11TH STREET
SUITE E 15
HERMISTON OR, 97838, US
Phone (541) 567-6434
Fax (541) 567-6019
Toxanomy
Taxonomy Code 207Q00000X
License State Oregon
License Number MD08491
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According to our database, Hermiston Medical Center NPI is 1467403329, taxonomy code is 207Q00000X and license number is MD08491, license state is located at Oregon. Hermiston Medical Center physically located at 600 Nw 11th St, Hermiston OR, 97838. NPI Number 1033115704 has the healthcare provider type.

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1467403329 NPI number is provided on an as is basis without warranty of any kind. 1467403329 is maintained by the National Plan & Provider Enumeration System. The contents of Hermiston Medical Center are for informational purposes only.