Grande Ronde Recovery | |
1101 I Ave La Grande OR 97850-2043 | |
(541) 962-0162 | |
Not Available |
Full Name | Grande Ronde Recovery |
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Speciality | Psychiatry & Neurology - Addiction Psychiatry |
Location | 1101 I Ave, La Grande, Oregon |
Authorized Official Name and Position | Meggen M Brogoitti (OFFICE MANAGER) |
Authorized Official Contact | 5419620162 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Grande Ronde Recovery 1101 I Ave La Grande OR 97850-2043 Ph: (541) 962-0162 | Grande Ronde Recovery 1101 I Ave La Grande OR 97850-2043 Ph: (541) 962-0162 |
NPI Number | 1093998866 |
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Provider Enumeration Date | 12/14/2007 |
Last Update Date | 08/28/2008 |
Identifier | Type | State | Issuer |
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1093998866 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | MD18191 (Oregon) | Primary |
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