Organization
COLUMBIA RIVER MEDICAL CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK DENNIS CZARNECKI DO (OWNER)
(541) 296-1919
Entity
Organization
Contact information
Practice address
1615 E 12TH ST, SUITE 100, THE DALLES, OR 97058-3212
(541) 296-1919
(541) 296-2253
Mailing address
PO BOX 1580, THE DALLES, OR 97058-8004
(541) 296-1919
(541) 296-2253
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15400DO
OR
Other
Enumeration date
09/08/2008
Last updated
09/08/2008
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