Organization
COLUMBIA LUTHERAN CHARITIES
Active
Other names
CMH Cardiology Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM G RIVERS (CFO)
(503) 338-7505
Entity
Organization
Contact information
Practice address
2158 EXCHANGE ST, SUITE 206, ASTORIA, OR 97103-3316
(503) 325-4321
(503) 338-7586
Mailing address
2111 EXCHANGE ST, ASTORIA, OR 97103-3329
(503) 325-4321
(503) 338-7586
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
14-1146
OR
Other
Enumeration date
10/21/2010
Last updated
10/21/2010
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