Grande Ronde Hospital, INC

NPI #1871972729 in Union, Oregon

Provider Information

NPI Number: 1871972729
Entity Type: Organization
Organization Name: Grande Ronde Hospital, INC
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: May 26, 2015
Last Updated: Aug 25, 2015

Practice Location

Address: 142 E DEARBORN ST
City: Union
State: Oregon
ZIP Code: 97883
Phone: (541) 963-1555

Authorized Official

Name: JAMES A MATTES
Title: PRESIDENT/CEO
Phone: (541) 963-1464

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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