Columbia Gorge Family Medicine

LBN: Columbia Gorge Medical Center Pc
Columbia Gorge Family Medicine is an health care organization with primary practice located at 1750 12Th St , Hood River OR 97031-1513. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Columbia Gorge Medical Center Pc can be contacted via phone (541) 386-5070, or through Gray, Tyler via phone (541) 386-5070.

Contact Information

Primary practice address
1750 12Th St Hood River OR 97031-1513
Phone: (541) 386-5070
Fax: (541) 386-7190
Website:
Map and Directions
Authorized official contact:
Name: Gray, Tyler Doctor of Medicine (MD)
Phone: (541) 386-5070

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1558346064
LBN Legal business name Columbia Gorge Medical Center Pc
DBA Doing business as Columbia Gorge Family Medicine
Authorized official Gray, Tyler Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 7th, 2005
Last updated Feb 16th, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558346064 NPPES
Washington MEDICAID 7002678
Washington MEDICAID 176180
Washington Other 198383
Washington Other 8901302

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