Organization · Type 2 NPI

Mid-Columbia Medical Center

Urology Physician · The Dalles, OR

NPI number 1164735478 Active

Practice location

1805 E 19th St
The Dalles, OR 97058-0000

Call (541) 296-2201 Map

Fax (541) 296-1237

Mailing address

PO Box 1520
The Dalles, OR 97058-0000

Specialties and licenses

Taxonomy	Code	License
Urology Physician Primary	208800000X	None listed

Urology Physician: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

5 other providers at this address

Other urology physician providers in The Dalles

Gorge Urology PCUrology Physician The Dalles, OR NPI 1487823944

See all in The Dalles →

NPI record

NPI: 1164735478
Entity type: Organization (Type 2)
Issued: Jul 16, 2010
Last updated: Apr 14, 2025
Status: Active

Other names

<unavail>
Adventist Health Columbia Gorge · doing business as
Gorge Urology · doing business as
Gorge Urology · doing business as

Authorized official

Kyle King
Service Area President
(503) 261-4405

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1164735478

Mid-Columbia Medical Center's National Provider Identifier is 1164735478, issued on Jul 16, 2010. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in The Dalles, OR. The record was last updated on Apr 14, 2025.