Organization
UMATILLA MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEROY IRWIN MEHARRY MD (OWNER)
(541) 922-3104
Entity
Organization
Contact information
Practice address
1890 E 7TH STREET, UMATILLA, OR 97882-0790
(541) 922-3104
(541) 922-2951
Mailing address
PO BOX 790, 1890 E 7TH STREET, UMATILLA, OR 97882-0790
(541) 922-3104
(541) 922-2951
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
058545
—
OR
Enumeration date
03/29/2007
Last updated
08/22/2020
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