Pediatric Specialists Of Pendleton, Llc

LBN: Pediatric Specialists Of Pendleton, Llc
Pediatric Specialists Of Pendleton, Llc is an health care organization with primary practice located at 1600 Se Court Pl Suite, L01, Pendleton OR 97801-3281. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Pediatric Specialists Of Pendleton, Llc can be contacted via phone (541) 276-0250, or through Guenther, Donald Clifford via phone (541) 276-0250.

Contact Information

Primary practice address
1600 Se Court Pl Suite, L01 Pendleton OR 97801-3281
Phone: (541) 276-0250
Fax: (541) 276-0253
Website:
Map and Directions
Authorized official contact:
Name: Guenther, Donald Clifford Doctor of Medicine (MD)
Phone: (541) 276-0250

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 11027630 Oregon

Profile Details

NPI number 1689739310
LBN Legal business name Pediatric Specialists Of Pendleton, Llc
DBA Doing business as
Authorized official Guenther, Donald Clifford Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 22nd, 2006
Last updated Nov 23rd, 2009 - about 16 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 1689739310 NPPES
Oregon MEDICAID 288044

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