Organization
LONGVIEW ORTHOPEDIC ASSOCIATES-ASTORIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE GRAGG BLACKSTONE MD (PARTNER)
(360) 501-3400
Entity
Organization
Contact information
Practice address
2120 EXCHANGE ST, ASTORIA, OR 97103-3365
(360) 501-3400
(360) 423-6862
Mailing address
625 9TH AVE, STE 210, LONGVIEW, WA 98632-2465
(360) 501-3400
(360) 423-6862
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
04/02/2010
Last updated
04/02/2010
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