Organization
COLUMBIA MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIK WADE THORSEN (CEO)
(503) 338-7505
Entity
Organization
Contact information
Practice address
2111 EXCHANGE ST, ASTORIA, OR 97103-3329
(503) 325-4321
Mailing address
2111 EXCHANGE ST, ASTORIA, OR 97103-3329
(503) 325-4321
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
141146
OR
207Q00000X
Family Medicine Physician
141146
OR
207RC0000X
Cardiovascular Disease Physician
141146
OR
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
141146
OR
207RX0202X
Medical Oncology Physician
141146
OR
207V00000X
Obstetrics & Gynecology Physician
141146
OR
207X00000X
Orthopaedic Surgery Physician
141146
OR
208C00000X
Colon & Rectal Surgery Physician
141146
OR
282NC0060X
Critical Access Hospital
Primary
14-1146
OR
Other
Enumeration date
01/04/2017
Last updated
01/04/2017
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