Organization
HEALTHCARE FOR THE MID-COLUMBIA REGION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DON ARBON (CFO)
(541) 296-1111
Entity
Organization
Contact information
Practice address
1700 E 19TH ST, THE DALLES, OR 97058-3317
(541) 296-1111
Mailing address
PO BOX 4800, UNIT 17, PORTLAND, OR 97208-4800
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200123
US DEPTARTMENT OF LABOR
—
05
—
276307
—
OR
05
—
7128747
—
WA
01
—
865374000
BLUE CROSS/BLUE SHIELD
—
01
—
8906928
WASHINGTON CRIME VICTIMS
—
01
—
DD6600
RAILROAD MEDICARE
—
Enumeration date
06/11/2006
Last updated
07/07/2008
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