COLUMBIA GORGE ENT, LLC

THE DALLES, OR
NPI1427056324
Entity TypeOrganization
Authorized ContactCHARLES R FORD
Owner
541-298-5563
Organization Subpart ?No
Primary Taxonomy207Y00000X Otolaryngology
(Licence: OR  MD10654)
Enumeration Date2005-07-13
Last Update Date2007-08-23
Business Address
COLUMBIA GORGE ENT, LLC
1815 E 19TH ST SUITE 1
THE DALLES, OR 97058-3365
Phone number: 541-298-5563
Mailing Address
COLUMBIA GORGE ENT, LLC
1815 E 19TH ST SUITE 1
THE DALLES, OR 97058-3365
Phone number: 541-298-5563
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