Organization
HERMISTON MEDICAL CENTER P C
Active
Other names
Family Health Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK TED EARL MD (MEDICAL DIRECTOR)
(541) 567-6434
Entity
Organization
Contact information
Practice address
600 NW 11TH ST, SUITE E 15, HERMISTON, OR 97838
(541) 567-6434
(541) 567-6019
Mailing address
600 NW 11TH STREET, SUITE E 15, HERMISTON, OR 97838
(541) 567-6434
(541) 567-6019
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
DO23298
OR
207Q00000X
Family Medicine Physician
MD08491
OR
207Q00000X
Family Medicine Physician
MD11635
OR
207Q00000X
Family Medicine Physician
Primary
MD14374
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083709
—
OR
01
—
194175200
W C
—
Enumeration date
05/15/2006
Last updated
01/09/2025
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