Organization
RICHARD A. CARPENTER, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICK D COLE (OFFICE MANAGER)
(541) 567-1750
Entity
Organization
Contact information
Practice address
600 NW 11TH ST, E-27, HERMISTON, OR 97838-8602
(541) 567-1750
Mailing address
600 NW 11TH ST, E-27, HERMISTON, OR 97838-8602
(541) 567-1750
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278770
—
OR
Enumeration date
03/20/2007
Last updated
04/20/2008
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