Organization
MID-COLUMBIA FAMILY PHYSICIANS,P.S.
Active
Other names
MID COLUMBIA FAMILY HEALTH CENTER, NorthShore Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. R ALLEN LABERGE MD (PRESIDENT)
(509) 493-2133
Entity
Organization
Contact information
Practice address
65371 HIGHWAY 14, WHITE SALMON, WA 98672-9867
(509) 493-2133
(509) 493-9544
Mailing address
PO BOX 1519, WHITE SALMON, WA 98672-1519
(509) 493-2133
(509) 493-9544
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
600416746
WA
261QR1300X
Rural Health Clinic/Center
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7033376
—
WA
05
—
7065113
—
WA
Enumeration date
07/01/2006
Last updated
11/26/2018
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