|
| |
|
600 Nw 11th St Ste E15 Hermiston OR 97838-8602 | |
| (541) 567-6434 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 600 Nw 11th St Ste E15, Hermiston, Oregon |
| Authorized Official Name and Position | Derek Ted Earl (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5415676434 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
600 Nw 11th St Ste E15 Hermiston OR 97838-8602 Ph: (541) 567-6434 | 600 Nw 11th St Ste E15 Hermiston OR 97838-8602 Ph: (541) 567-6434 |
| NPI Number | 1255149175 |
|---|---|
| Provider Enumeration Date | 12/23/2024 |
| Last Update Date | 01/09/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255149175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Cornerstone Pediatrics Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 955 Se 4th St Ste B, Hermiston, OR 97838 Phone: 817-733-4691 | |
Columbia Basin Wellness Clinic, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 W Hermiston Ave, Suite 100 C, Hermiston, OR 97838 Phone: 541-667-8357 Fax: 541-667-8357 | |
Advanced Orthopedic & Sports Medicine Institute, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 620 Nw 11th St, Ste 201, Hermiston, OR 97838 Phone: 541-289-7075 Fax: 541-289-1189 | |
Ben Booher Do Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 645 W Orchard Ave, Hermiston, OR 97838 Phone: 541-289-4555 Fax: 541-289-4556 |