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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