Columbia River Medical Clinic, P.c.

NPI #1659529287 in The Dalles, Oregon

Provider Information

NPI Number
1659529287
Entity Type
Organization
Organization Name
Columbia River Medical Clinic, P.c.
Primary Specialty
Family Medicine
Enumeration Date
Sep 8, 2008
Last Updated
Sep 8, 2008

Practice Location

Address
1615 E 12TH ST
Address 2
SUITE 100
State
Oregon
ZIP Code
97058-3212
Phone
(541) 296-1919

Authorized Official

Name
MARK DENNIS CZARNECKI, DO
Title
OWNER
Phone
(541) 296-1919

Specialties & Taxonomy Codes

Specialty
Family Medicine

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