| Columbia Gorge Family Medicine | |
|
1750 12th St Hood River OR 97031-9540 | |
| (541) 386-5070 | |
| (541) 386-7190 |
| Full Name | Columbia Gorge Family Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 1750 12th St, Hood River, Oregon |
| Authorized Official Name and Position | Kristen Gail Dillon (MANAGING PARTNER) |
| Authorized Official Contact | 5413865070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbia Gorge Family Medicine 1750 12th St Hood River OR 97031-9540 Ph: (541) 386-5070 | Columbia Gorge Family Medicine 1750 12th St Hood River OR 97031-9540 Ph: (541) 386-5070 |
| NPI Number | 1821364944 |
|---|---|
| Provider Enumeration Date | 03/23/2012 |
| Last Update Date | 03/23/2012 |
| Medicare PECOS PAC ID | 8628066115 |
|---|---|
| Medicare Enrollment ID | O20120612000407 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821364944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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