Organization
EASTERN OREGON REGIONAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL ALAN WARNER MD (MEDICAL DIRECTOR)
(541) 567-6330
Entity
Organization
Contact information
Practice address
1070 W ELM AVE STE B, HERMISTON, OR 97838-2711
(541) 289-8900
(458) 219-2640
Mailing address
1070 W ELM AVE STE B, HERMISTON, OR 97838-2711
(541) 289-8900
(458) 219-2640
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
394721
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
232855
—
OR
01
—
P00053720
RAILROAD MEDICARE
OR
01
—
P256501
PACIFICSOURCE
OR
Enumeration date
12/04/2006
Last updated
08/28/2023
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