Organization
EASTERN OREGON RADIOLOGY
Active
Organization
EASTERN OREGON RADIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL KIRKHAM MD (PARTNER)
(541) 963-8421
Entity
Organization
Contact information
Practice address
900 SUNSET DR, LA GRANDE, OR 97850-1362
(541) 963-8421
Mailing address
PO BOX 18858, RENO, NV 89511-0188
(775) 283-3315
(775) 624-9763
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041077000
REGENCE
OR
01
—
194663800
DEPT LABOR
OR
05
—
226258
—
OR
01
—
CJ6070
RAILROAD MEDICARE
OR
Enumeration date
12/29/2006
Last updated
06/26/2020
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