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Organization
GRANDE RONDE HOSPITAL INC.
Active
Organization
GRANDE RONDE HOSPITAL INC.
Active
Other names
Grande Ronde Hospital Womens Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES MATTES (PRESIDENT)
(541) 963-1469
Entity
Organization
Contact information
Practice address
610 SUNSET DR, LA GRANDE, OR 97850-1248
(541) 963-2216
(541) 962-1042
Mailing address
610 SUNSET DR, LA GRANDE, OR 97850-1248
(541) 963-2216
(541) 962-1042
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
394792
OR
Other
Enumeration date
06/12/2006
Last updated
11/08/2007
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