NPI | 1558346064 |
---|---|
Doing Business As | COLUMBIA GORGE FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | TYLER GRAY Managing Partner 541-386-5070 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Enumeration Date | 2005-12-07 |
Last Update Date | 2016-02-16 |