Organization
EASTERN OR DERMATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN M CARRINGTON MD (PROVIDER)
(541) 966-8551
Entity
Organization
Contact information
Practice address
602 SE BYERS AVE, PENDLETON, OR 97801-2330
(541) 966-8551
(541) 966-8554
Mailing address
PO BOX 40, PENDLETON, OR 97801-0040
(541) 966-8551
(541) 966-8554
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD19132
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080304
—
OR
Enumeration date
03/12/2008
Last updated
03/12/2008
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