Individual
DONALD O. WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
710 SUNSET DR, LA GRANDE, OR 97850-1200
(541) 663-3100
(541) 975-5135
Mailing address
710 SUNSET DR, LA GRANDE, OR 97850-1200
(541) 663-3100
(541) 975-5135
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD12093
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
064570000
REGENCE BLUE CROSS
OR
05
—
230995
—
OR
01
—
70292
DEPT OF LABOR & INDUSTRIE
WA
Enumeration date
07/26/2005
Last updated
12/01/2011
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