Individual
MR. ORIE EUGENE KALTENBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3565 QUAILRIDGE DR, CLARKSTON, WA 99403-1785
(208) 746-5132
(208) 746-0087
Mailing address
3565 QUAILRIDGE DR, CLARKSTON, WA 99403-1785
(208) 746-5132
(208) 746-0087
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
11290
ND
207X00000X
Orthopaedic Surgery Physician
Primary
M3226
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002642400
—
ID
Enumeration date
08/31/2006
Last updated
03/11/2015
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