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Organization

MID-COLUMBIA MEDICAL CENTER

Active
Other names
ADVENTIST HEALTH COLUMBIA GORGE
Organization subpart
No

Provider details

NPI number
Authorized official
KYLE KING (SERVICE AREA PRESIDENT)
(503) 261-4405
Entity
Organization

Contact information

Practice address
1700 E 19TH ST, THE DALLES, OR 97058-3317
(541) 296-1111
(541) 296-7619
Mailing address
1700 E 19TH ST, THE DALLES, OR 97058-3317
(541) 296-7668
(541) 296-1111

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
070115
OR
05
2008493
WA
Enumeration date
10/10/2006
Last updated
03/28/2025
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