Grande Ronde Hospital

NPI #1861434615 in La Grande, Oregon

Provider Information

NPI Number: 1861434615
Entity Type: Organization
Organization Name: Grande Ronde Hospital
Primary Specialty: Pediatrics
Enumeration Date: Jun 12, 2006
Last Updated: Nov 9, 2007

Practice Location

Address: 612 SUNSET DR
City: La Grande
State: Oregon
ZIP Code: 97850-1248
Phone: (541) 963-9123

Authorized Official

Name: MR. JAMES MATTES
Title: PRESIDENT
Phone: (541) 963-1469

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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