NPI 1033101696 · live from the CMS NPI Registry
Geraldine Gardner, D.O.
Internal Medicine, Cardiovascular Disease in La Grande, OR. National Provider Identifier 1033101696, active.
NPI record
| NPI | 1033101696 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Cardiovascular Disease 207RC0000X |
| Practice location | 900 Sunset Dr, La Grande, OR 97850 |
| Practice phone | 541-963-2328 |
| Mailing address | Po Box 3290, La Grande, OR 97850 |
| Enumerated | August 19, 2005 |
| Last updated | August 13, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Cardiovascular Disease | 207RC0000X | OP60308505 (WA) |
| Internal Medicine, Cardiovascular Disease primary | 207RC0000X | DO194314 (OR) |
| Internal Medicine, Cardiovascular Disease | 207RC0000X | 822 (NV) |
| Internal Medicine, Cardiovascular Disease | 207RC0000X | 7383A (WY) |
| Internal Medicine, Cardiovascular Disease | 207RC0000X | 20A6134 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.