Organization
EAGLE SUMMIT ORTHOPEDIC & SPORTS MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOLENE LLOYD (OFFICE MANAGER)
(541) 289-7171
Entity
Organization
Contact information
Practice address
600 NW 11TH ST STE E19, HERMISTON, OR 97838-8602
(541) 289-7170
Mailing address
600 NW 11TH ST STE E19, HERMISTON, OR 97838-8602
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/18/2016
Last updated
11/28/2016
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