Eagle Summit Orthopedic & Sports Medicine, LLC

NPI #1891238143 in Hermiston, Oregon

Provider Information

NPI Number: 1891238143
Entity Type: Organization
Organization Name: Eagle Summit Orthopedic & Sports Medicine, LLC
Primary Specialty: Specialist
Enumeration Date: Nov 18, 2016
Last Updated: Nov 28, 2016

Practice Location

Address: 600 NW 11TH ST STE E19
City: Hermiston
State: Oregon
ZIP Code: 97838-8602
Phone: (541) 289-7170

Authorized Official

Name: JOLENE LLOYD
Title: OFFICE MANAGER
Phone: (541) 289-7171

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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