Organization
PEDIATRIC SPECIALISTS OF PENDLETON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD CLIFFORD GUENTHER MD (MANAGER)
(541) 276-0250
Entity
Organization
Contact information
Practice address
1600 SE COURT PL, SUITE, L01, PENDLETON, OR 97801-3281
(541) 276-0250
(541) 276-0253
Mailing address
1600 SE COURT PL, SUITE, L01, PENDLETON, OR 97801-3281
(541) 276-0250
(541) 276-0253
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
11027630
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
288044
—
OR
Enumeration date
12/22/2006
Last updated
11/23/2009
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