38D2086947 CLIA NUMBER - GORGE NP PARTNERS, PC

Laboratory Demographics

CLIA Number: 38D2086947

Facility Name: GORGE NP PARTNERS, PC

Facility Address:
1015 WEBBER ST STE 100
THE DALLES, OR
ZIP 97058
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Facility Phone Number: 541 296-4804

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1780128165

Taxonomy: 363L00000X - Nurse Practitioner
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

CLIA Record

Field Name Field Value
CLIA Number 38D2086947
LAB Type Practitioner Other
Facility Name GORGE NP PARTNERS, PC
Street 1015 WEBBER ST STE 100
City THE DALLES
State OR
ZIP 97058
Phone 541 296-4804
CertificateType 4
CertificateEffectiveDate 11/14/2022
CertificateExpirationDate 11/13/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024