Grande Ronde Recovery in La Grande - Addiction Psychiatry

Grande Ronde Recovery - NPI 1093998866

Grande Ronde Recovery is a Addiction Psychiatry in La Grande, Oregon. Grande Ronde Recovery practices all healthcare services and medical treatments related to Addiction Psychiatry. The NPI Number for Grande Ronde Recovery is 1093998866. The last update date is 2008-08-28.

Grande Ronde Recovery's current location address is 1101 I Ave, La Grande, Oregon. You can contact this provider via phone number 5419620162. The mailing address for Grande Ronde Recovery is 1101 I Ave, La Grande, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Organization Grande Ronde Recovery
Address 1101 I Ave, La Grande, Oregon
Phone Number 5419620162
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE MAN
Authorized Official Name Brogoitti M Meggen
Telephone Number 5419620162

NPI Number Detail

NPI Number 1093998866
Provider Enumeration Date 2007-12-14
Last Updated Date 2008-08-28

Provider Mailing Address Detail

Address 1101 I Ave
City La Grande
State Oregon (OR)
Post Code 978502043
Phone Number 5419620162
Fax Number

Provider's Primary Taxonomy Detail

Speciality Addiction Psychiatry
Taxonomy 2084P0802X
Licence No MD18191
Definition:
Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric d

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FAQs about Grande Ronde Recovery

What is the unique provider identifier assigned to Grande Ronde Recovery?

The Grande Ronde Recovery has been issued the NPI (National Provider Identifier) 1093998866 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Grande Ronde Recovery is physically located?

The Grande Ronde Recovery is physically situated at the following address: 1101 I Ave, La Grande, OR, 978502043.

What is Grande Ronde Recovery's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Grande Ronde Recovery is Addiction Psychiatry, and the taxonomy classification code that categorizes this area of expertise is 2084P0802X.

On what date did the Grande Ronde Recovery receive the assignment of its 1093998866 from the Centers for Medicare & Medicaid Services?

The Grande Ronde Recovery was issued its 1093998866 by the Centers for Medicare & Medicaid Services on 2007-12-14.

As of what date were the Grande Ronde Recovery's details last updated?

The information pertaining to the Grande Ronde Recovery, including its address, specialty, and other details, was most recently updated on 2008-08-28.

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