| Northeast Oregon Community Partnership | |
|
1101 I Ave La Grande OR 97850-2043 | |
| (541) 962-0162 | |
| (541) 962-0119 |
| Full Name | Northeast Oregon Community Partnership |
|---|---|
| Speciality | Psychiatry & Neurology - Addiction Psychiatry |
| Location | 1101 I Ave, La Grande, Oregon |
| Authorized Official Name and Position | Mary A Goldstein (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5419620162 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Oregon Community Partnership 1101 I Ave La Grande OR 97850-2043 Ph: (541) 962-0162 | Northeast Oregon Community Partnership 1101 I Ave La Grande OR 97850-2043 Ph: (541) 962-0162 |
| NPI Number | 1376858092 |
|---|---|
| Provider Enumeration Date | 08/18/2010 |
| Last Update Date | 08/18/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376858092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | (* (Not Available)) | Primary |
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