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Organization

COLUMBIA GORGE NEUROLOGY SPECIALISTS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAURIE MILLER RHIT, CCS-P (CLINIC MANAGER)
(541) 296-1100
Entity
Organization

Contact information

Practice address
1615 E 12TH ST, SUITE 100, THE DALLES, OR 97058-3278
(541) 296-1100
(541) 236-0606
Mailing address
1615 E 12TH ST, SUITE 100, THE DALLES, OR 97058-3278
(541) 296-1100
(541) 236-0606

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary

Other

Enumeration date
06/26/2007
Last updated
12/05/2016
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