| Gorge Bone Density Testing Llc | |
|
1825 E 19th St Suite 3 The Dalles OR 97058-3365 | |
| (509) 493-1467 | |
| (509) 493-3765 |
| Full Name | Gorge Bone Density Testing Llc |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 1825 E 19th St, The Dalles, Oregon |
| Authorized Official Name and Position | Thomas J Nichol (OPERATING MANAGER) |
| Authorized Official Contact | 5094931467 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gorge Bone Density Testing Llc 1825 E 19th St Suite 3 The Dalles OR 97058-3365 Ph: (509) 493-1467 | Gorge Bone Density Testing Llc 1825 E 19th St Suite 3 The Dalles OR 97058-3365 Ph: (509) 493-1467 |
| NPI Number | 1790833721 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 09/05/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790833721 | NPI | - | NPPES |
| 002415 | Medicaid | OR | |
| 1059047 | Other | WA | WASHINGTON MEDICAID |
| K285401 | Other | OR | PACIFIC SOURCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | MD16255 (Oregon) | Primary |
Mid-columbia Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1700 E 19th St, The Dalles, OR 97058 Phone: 541-296-1111 Fax: 541-296-7619 | |
Providence Health & Services - Oregon Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1815 E 19th St, Suite 1, The Dalles, OR 97058 Phone: 541-298-5563 | |
One Community Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1040 Webber St, The Dalles, OR 97058 Phone: 541-296-4610 | |
Mid-columbia Health Service, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1700 E 19th St, The Dalles, OR 97058 Phone: 541-296-7760 Fax: 541-296-7619 | |
Mid-columbia Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 551 Lone Pine Blvd, The Dalles, OR 97058 Phone: 541-506-6920 Fax: 541-296-5451 | |
Gorge Bone Density Testing Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1825 E 19th St, Suite 3, The Dalles, OR 97058 Phone: 509-493-1467 Fax: 509-493-3765 | |
Mid-columbia Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1935 E 19th St, The Dalles, OR 97058 Phone: 541-506-6520 |