| Transire, Llc | |
|
105 Fir St Suite 332 La Grande OR 97850-2661 | |
| (541) 805-5502 | |
| (541) 963-4943 |
| Full Name | Transire, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 105 Fir St, La Grande, Oregon |
| Authorized Official Name and Position | Lisa L Ladendorff (SOLE PROPRIETER) |
| Authorized Official Contact | 5418055502 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Transire, Llc 2708 N Ash St La Grande OR 97850-2733 Ph: (541) 805-5502 | Transire, Llc 105 Fir St Suite 332 La Grande OR 97850-2661 Ph: (541) 805-5502 |
| NPI Number | 1700024668 |
|---|---|
| Provider Enumeration Date | 01/30/2009 |
| Last Update Date | 01/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700024668 | NPI | - | NPPES |
| 1B845630000 | Other | OR | REGENCE BLUE CROSS BLUE SHIELD OF OREGON |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | L2326 (Oregon) | Primary |
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