# COLUMBIA RIVER WOMEN'S CLINIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568443018
- **Authorized official:** MRS. LAURIE MILLER RHIT, CCS-P (BUSINESS MANAGER)
- **Authorized official phone:** (541) 296-5657

## Contact information

- **Practice address:** 1810 E 19TH ST, SUITE 209, THE DALLES, OR 97058-3388
- **Practice address phone:** (541) 296-5657
- **Mailing address:** 1810 E 19TH ST, SUITE 209, THE DALLES, OR 97058-3388
- **Mailing address phone:** (541) 296-5657

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/10/2005
- **Last updated:** 02/27/2008