Organization
WALLOWA COUNTY HEALTH CARE DISTRICT
Active
Other names
Wallowa Memorial Medical Clinic - Wallowa
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH WANNER (CFO)
(541) 426-5460
Entity
Organization
Contact information
Practice address
211 EAST 2ND ST, WALLOWA, OR 97885
(541) 426-7900
Mailing address
601 MEDICAL PKWY, ENTERPRISE, OR 97828-5124
(541) 426-5460
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/17/2020
Last updated
01/31/2023
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