Organization
GORGE BONE DENSITY TESTING LLC
Active
Organization
GORGE BONE DENSITY TESTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLANN J TATE (OFFICE MANAGER)
(509) 493-1467
Entity
Organization
Contact information
Practice address
1825 E 19TH ST, SUITE 3, THE DALLES, OR 97058-3365
(509) 493-1467
(509) 493-3765
Mailing address
1825 E 19TH ST, SUITE 3, THE DALLES, OR 97058-3365
(509) 493-1467
(509) 493-3765
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286691
—
OR
01
—
7115249
WASHINGTON MEDICAID
WA
01
—
K285400
PACIFIC SOURCE
OR
Enumeration date
08/06/2006
Last updated
09/06/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up