# GRANDE RONDE HOSPITAL INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Grande Ronde Hospital Womens Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972545895
- **Authorized official:** MR. JAMES MATTES (PRESIDENT)
- **Authorized official phone:** (541) 963-1469

## Contact information

- **Practice address:** 610 SUNSET DR, LA GRANDE, OR 97850-1248
- **Practice address phone:** (541) 963-2216
- **Practice address fax:** (541) 962-1042
- **Mailing address:** 610 SUNSET DR, LA GRANDE, OR 97850-1248
- **Mailing address phone:** (541) 963-2216
- **Mailing address fax:** (541) 962-1042

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 394792 | OR | Yes |

## Other

- **Enumeration date:** 06/12/2006
- **Last updated:** 11/08/2007