Organization
MID-COLUMBIA HEALTH SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD O ARBON (CFO)
(541) 296-7760
Entity
Organization
Contact information
Practice address
1700 E 19TH ST, THE DALLES, OR 97058-3317
(541) 296-7760
(541) 296-7619
Mailing address
1700 E 19TH ST, THE DALLES, OR 97058-3317
(541) 296-7760
(541) 296-7619
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
208D00000X
TAXONOMY
—
Enumeration date
08/27/2007
Last updated
06/17/2008
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