| Jeffrey Christopher La Rochelle, MD | |
|
600 Nw 11th St, Hermiston, OR 97838-8605 | |
| (541) 567-5305 | |
| Not Available |
| Full Name | Jeffrey Christopher La Rochelle |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 24 Years |
| Location | 600 Nw 11th St, Hermiston, Oregon |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306006457 | NPI | - | NPPES |
| 0A1002960 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | MD126296 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Legacy Good Samaritan Medical Center | Portland, OR | Hospital |
| Good Shepherd Medical Center | Hermiston, OR | Hospital |
| Oroville Hospital | Oroville, CA | Hospital |
| Legacy Meridian Park Medical Center | Tualatin, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Clinics Llc | 0244144004 | 718 |
| Orohealth Corporation A Non Profit Healthcare System | 4082501192 | 126 |
| Oroville Hospital | 1254234339 | 94 |
| Good Shepherd Health Care System | 9133033764 | 113 |
| Entity Name | Legacy Clinics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089 |
| Entity Name | Good Shepherd Health Care System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295789667 PECOS PAC ID: 9133033764 Enrollment ID: O20031118000046 |
| Entity Name | Legacy Good Samaritan Hospital And Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780608216 PECOS PAC ID: 0547179939 Enrollment ID: O20031125000416 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Christopher La Rochelle, MD 2725 Ne 23rd Ave, Portland, OR 97212-3414 Ph: (503) 724-6934 | Jeffrey Christopher La Rochelle, MD 600 Nw 11th St, Hermiston, OR 97838-8605 Ph: (541) 567-5305 |
Dr. Thomas Holt, MD Urology Medicare: Medicare Enrolled Practice Location: 600 Nw 11th St Ste E10, Hermiston, OR 97838 Phone: 541-667-3825 Fax: 541-667-3632 |