Organization
COLUMBIA GORGE RADIOLOGY PC
Active
Organization
COLUMBIA GORGE RADIOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAULA MARIA LEE-VALKOV MD (PRESIDENT)
(509) 294-3758
Entity
Organization
Contact information
Practice address
1700 E 19TH ST, THE DALLES, OR 97058-3317
(541) 296-7251
Mailing address
113 E 2ND ST STE B, THE DALLES, OR 97058-1736
(541) 298-8718
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD25785
OR
Other
Enumeration date
10/25/2006
Last updated
10/19/2007
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