Organization
COLUMBIA RIVER WOMEN'S CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURIE MILLER RHIT, CCS-P (BUSINESS MANAGER)
(541) 296-5657
Entity
Organization
Contact information
Practice address
1810 E 19TH ST, SUITE 209, THE DALLES, OR 97058-3388
(541) 296-5657
Mailing address
1810 E 19TH ST, SUITE 209, THE DALLES, OR 97058-3388
(541) 296-5657
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227699
—
OR
Enumeration date
11/10/2005
Last updated
02/27/2008
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