| Eastern Oregon Trauma Center, Llc | |
|
1100 Southgate Ste 3 Pendleton OR 97801-3971 | |
| (541) 215-4440 | |
| (541) 429-4118 |
| Full Name | Eastern Oregon Trauma Center, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1100 Southgate Ste 3, Pendleton, Oregon |
| Authorized Official Name and Position | Emily Arnold (OWNER) |
| Authorized Official Contact | 8035566842 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Oregon Trauma Center, Llc 314 Nw 4th St Pendleton OR 97801-1619 Ph: (541) 215-4440 | Eastern Oregon Trauma Center, Llc 1100 Southgate Ste 3 Pendleton OR 97801-3971 Ph: (541) 215-4440 |
| NPI Number | 1467143156 |
|---|---|
| Provider Enumeration Date | 05/15/2023 |
| Last Update Date | 01/10/2025 |
| Certification Date | 01/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467143156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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