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GORGE BONE DENSITY TESTING LLC NPI 1790833721


NPI Information

NPI: 1790833721
Provider Name: GORGE BONE DENSITY TESTING LLC

Other Name: THOMAS A NICHOL

Classification: Internal Medicine - 207RI0200X
Entity Type: Organization

Specialization: Infectious Disease

Address:
1825 E 19TH ST
SUITE 3
THE DALLES, OR
ZIP 97058
Phone: (509) 493-1467
Get Directions

GORGE BONE DENSITY TESTING LLC is an infectious disease internal medicine in The Dalles, OR. The provider is an internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. GORGE BONE DENSITY TESTING LLC NPI is 1790833721. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Thomas A Nichol.

The provider's business location address is:

1825 E 19TH ST
SUITE 3
THE DALLES, OR
ZIP 97058-365
Phone: (509) 493-1467
Fax: (509) 493-3765

The provider's authorized official is Thomas J Nichol .
The authorized official title is Operating Manager and has the following contact phone number (509) 493-1467.

The enumeration date for this NPI number is 1/8/2007 and was last updated on 9/5/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RI0200XInternal MedicineInfectious DiseaseMD16255OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11059047OTHERWASHINGTONWASHINGTON MEDICAID
2K285401OTHEROREGONPACIFIC SOURCE
3112157MEDICARE ID-TYPE UNSPECIFIEDOREGON
4002415MEDICAIDOREGON
5E21880MEDICARE UPINOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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