Organization
BRUCE D. CARLSON
Active
Other names
Gilliam County Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY HESS (OFFICE MANAGER)
(541) 384-2061
Entity
Organization
Contact information
Practice address
422 N MAIN, CONDON, OR 97823-0705
(541) 384-2061
Mailing address
PO BOX 705, CONDON, OR 97823-0705
(541) 384-2061
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
223149
—
OR
01
—
DA2998
MEDICARE-RAILROAD
—
Enumeration date
12/26/2006
Last updated
02/11/2008
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