Village Healthcare of La Grande, Inc.

NPI #1154555076 in Corvallis, Oregon

Provider Information

NPI Number
1154555076
Entity Type
Organization
Organization Name
Village Healthcare of La Grande, Inc.
Primary Specialty
Clinic/Center
Enumeration Date
May 6, 2009
Last Updated
Nov 19, 2019

Practice Location

Address
656 NW MIRADOR PL
State
Oregon
ZIP Code
97330-4698
Phone
(541) 624-2040

Authorized Official

Name
RENEE EDWARDS, FNP
Title
MANAGER PROVIDER PRESIDENT
Phone
(541) 552-0386

Specialties & Taxonomy Codes

Specialty
Point of Service
Clinic/Center

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