| Organization Name: | EASTERN OREGON REGIONAL SURGERY |
| NPI Number: | 1184782203 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL ALAN WARNER (MEDICAL DIRECTOR) |
| Mailing Address: | 1070 W Elm Ave Hermiston |
| State: | OR US |
| Postal Code: | 978382711 |
| Phone Number: | 5412890160 |
| Fax Number: | 5412890238 |
| NPI Enumeration Date: | 12/04/2006 |
| NPI Last Update Date: | 10/07/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 394721 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |