Eastern Or Dermatology

LBN: Eastern Or Dermatology
Eastern Or Dermatology is an health care organization with primary practice located at 602 Se Byers Ave , Pendleton OR 97801-2330. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Eastern Or Dermatology can be contacted via phone (541) 966-8551, or through Carrington, John M via phone (541) 966-8551.

Contact Information

Primary practice address
602 Se Byers Ave Pendleton OR 97801-2330
Phone: (541) 966-8551
Fax: (541) 966-8554
Website:
Map and Directions
Authorized official contact:
Name: Carrington, John M Doctor of Medicine (MD)
Phone: (541) 966-8551

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD19132 Oregon

Profile Details

NPI number 1417128984
LBN Legal business name Eastern Or Dermatology
DBA Doing business as
Authorized official Carrington, John M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 12th, 2008
Last updated Mar 12th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1417128984 NPPES
Oregon MEDICAID 080304

Popular Providers