EAGLE SUMMIT ORTHOPEDIC & SPORTS MEDICINE LLC NPI 1891238143

NPI Information

NPI: 1891238143
Provider Name: EAGLE SUMMIT ORTHOPEDIC & SPORTS MEDICINE, LLC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
600 NW 11TH ST STE E19
HERMISTON, OR
ZIP 97838
Phone: (541) 289-7170
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EAGLE SUMMIT ORTHOPEDIC & SPORTS MEDICINE, LLC is a specialist in Hermiston, OR. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. EAGLE SUMMIT ORTHOPEDIC & SPORTS MEDICINE, LLC NPI is 1891238143. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

600 NW 11TH ST STE E19
HERMISTON, OR
ZIP 97838-602
Phone: (541) 289-7170

The provider's authorized official is Jolene Lloyd .
The authorized official title is Office Manager and has the following contact phone number (541) 289-7171.

The enumeration date for this NPI number is 11/18/2016 and was last updated on 11/28/2016.

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
1	174400000X	Specialist				Yes

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

NPI Synchronization or Removal

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