Organization
NORTH CENTRAL PUBLIC HEALTH DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIMI MCDONELL M.D. (HEALTH OFFICER)
(541) 506-2615
Entity
Organization
Contact information
Practice address
419 E 7TH ST, THE DALLES, OR 97058-2676
(541) 506-2600
(541) 506-2601
Mailing address
419 E 7TH ST, THE DALLES, OR 97058-2676
(541) 506-2600
(541) 506-2601
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043393
—
OR
Enumeration date
08/10/2006
Last updated
05/06/2014
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