NPI Provider: 1164428066
Contact Name: Davy S Larry
Position: CEO/Administrator
Phone: (541) 426-5300
Wallowa County Health Care District Information:
Wallowa County Health Care District organization have npi 1164428066, taxonomy code is 275N00000X with license number is 14 0068 in . This Business address located in 401 NE 1st St, Enterprise, OR 97828 Oregon.
Practice Location
Address: 401 NE 1st St, Enterprise, OR 97828
Phone: (541) 426-3111
Business Location
Address: 401 NE 1st St, Enterprise, OR 97828
Phone: (541) 426-3111
Fax: (541) 426-4095
Taxonomy
Taxonomy Code: 275N00000X
License Number: 14 0068
License Number of State: OR
Primary Taxonomy Switch: Y
Enumeration Date: 6/24/2005
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