Organization
MID-COLUMBIA MEDICAL CENTER
Active
Other names
Columbia River Women's Center, Adventist Health Columbia Gorge
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE KING (SERVICE AREA PRESIDENT)
(503) 261-4405
Entity
Organization
Contact information
Practice address
1810 E 19TH ST STE 209, THE DALLES, OR 97058-3388
(541) 296-5657
(541) 298-5199
Mailing address
PO BOX 1520, 1810 E. 19TH ST. STE.209, THE DALLES, OR 97058-3388
(541) 296-5657
(541) 298-5199
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
OR
261QR1300X
Rural Health Clinic/Center
Primary
383895
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2028140
—
WA
05
—
500654923
—
OR
Enumeration date
03/01/2013
Last updated
04/14/2025
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