institution
Obsidian Urgent Care, Pc
Family Nurse Practitioner in La Grande, Oregon
NPI 1255498473

Obsidian Urgent Care, Pc is a Family Nurse Practitioner based in La Grande, OR and is specialized in Family. Obsidian Urgent Care, Pc practices in La Grande, OR. The NPI Number for Obsidian Urgent Care, Pc is 1255498473 and holds a License No. 087000017N1 FNP-PP (Oregon).

The current practice location address for Obsidian Urgent Care, Pc is 401 Adams Ave, La Grande, OR and can be reached out via phone at 541-962-7407 and via fax at 541-962-7479.

Location: 401 Adams Ave, La Grande, OR, 97850-1619
institution
Provider Profile Details
NPI Number
1255498473
Provider Name
Obsidian Urgent Care, Pc
Credential
Provider Entity Type
Organization
Address
401 Adams Ave, La Grande, OR, 97850-1619
Phone Number
541-962-7407
Fax Number
541-962-7479
Provider Enumeration Date
01/03/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
118286 05 OR
831550000 01 OR GROUP NUMBER FOR BCBS
931176109 01 OR GROUP NUMBER FOR ALL OTH
institution
Provider Business Practice Location Address Details
Address
401 Adams Ave
City
State
Zip
97850-1619
Phone Number
541-962-7407
Fax Number
541-962-7479
person
Provider Business Mailing Address Details
Address
401 Adams Ave
City
State
Zip
97850-1619
Phone Number
541-962-7407
Fax Number
541-962-7479
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
087000017N1 FNP-PP (Oregon)
Definition
Definition to come...
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