# MID-COLUMBIA FAMILY PHYSICIANS,P.S.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NorthShore Medical Group, MID COLUMBIA FAMILY HEALTH CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760715106
- **Authorized official:** DR. R ALLEN LABERGE MD (PRESIDENT)
- **Authorized official phone:** (509) 493-2133

## Contact information

- **Practice address:** 875 SW ROCK CREEK DR, STEVENSON, WA 98648-4404
- **Practice address phone:** (509) 427-4212
- **Practice address fax:** (509) 427-4955
- **Mailing address:** PO BOX 1519, WHITE SALMON, WA 98672-1519
- **Mailing address phone:** (509) 493-2133
- **Mailing address fax:** (509) 493-9538

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 600416746 | WA | Yes |

## Other

- **Enumeration date:** 09/17/2009
- **Last updated:** 11/16/2018