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Organization

SAINT ALPHONSUS MEDICAL CENTER- ONTARIO INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRIAN LANNIE CHECKETTS (CFO)
(208) 367-7347
Entity
Organization

Contact information

Practice address
351 SW 9TH ST, ONTARIO, OR 97914-2639
(541) 881-7000
(541) 881-7186
Mailing address
351 SW 9TH ST, ONTARIO, OR 97914-2639
(541) 881-7000
(541) 881-7186

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
2085R0202X
Diagnostic Radiology Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003346600
ID
05
134311
OR
05
805333100
ID
Enumeration date
05/27/2010
Last updated
06/16/2025
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