# HERMISTON MEDICAL CENTER P C

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Family Health Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467403329
- **Authorized official:** DEREK TED EARL MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (541) 567-6434

## Contact information

- **Practice address:** 600 NW 11TH ST, SUITE E 15, HERMISTON, OR 97838
- **Practice address phone:** (541) 567-6434
- **Practice address fax:** (541) 567-6019
- **Mailing address:** 600 NW 11TH STREET, SUITE E 15, HERMISTON, OR 97838
- **Mailing address phone:** (541) 567-6434
- **Mailing address fax:** (541) 567-6019

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | DO23298 | OR | — |
| 207Q00000X | Family Medicine Physician | MD08491 | OR | — |
| 207Q00000X | Family Medicine Physician | MD11635 | OR | — |
| 207Q00000X | Family Medicine Physician | MD14374 | OR | Yes |

## Other

- **Enumeration date:** 05/15/2006
- **Last updated:** 01/09/2025