Organization
MID COLUMBIA HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DON ARBON (CFO)
(541) 296-1111
Entity
Organization
Contact information
Practice address
1700 E 19TH ST, THE DALLES, OR 97058-3317
(541) 296-1111
Mailing address
PO BOX 4800, UNIT 17, PORTLAND, OR 97208-4800
(888) 633-0087
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0235001
PREFERRED ONE
—
05
—
168114
—
OR
01
—
35236
WORKERS COMP
—
05
—
7058977
—
WA
01
—
8922672
WA CRIME VICTIMS
—
Enumeration date
11/06/2006
Last updated
08/27/2007
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