COLUMBIA GORGE ENT, LLC
Medical Practice at 19 St, Celilo, OR

License number
Oregon MD10654
Category
Medical Practice
Type
Otolaryngology
Owner
Name: DR. CHARLES R FORD MD
Title: OWNER
Phone: (541) 298-5563
Address
Address
1815 E 19Th St SUITE 1, Celilo, OR 97058
National Provider ID: 1427056324
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about COLUMBIA GORGE ENT, LLC at bizstanding.com

COLUMBIA GORGE ENT, LLC

1815 E 19 St, The Dalles, OR 97058

Industry:
Medical Doctor's Office
Doing business as:
Columbia Gorge Ear Nose & Throat<br>Columbia Gorge ENT, LLC
Registration:
Jun 10, 2003
Phone:
(541) 298-5563 (Phone), (541) 296-7746 (Fax)
State ID:
15425499
Business type:
DOMESTIC LIMITED LIABILITY COMPANY
Licensed Practical Nurses:
Wendy Cameron (Manager, Office Manager),Charles Ford (Neurology),Matthew David Proctor (Otolaryngology, Medical Doctor),...
Agent:
James Rfoster,420 E 3 St, The Dalles, OR 97058 (Physical)
Categories:
Physicians & Surgeons - Ear, Nose & Throat

Medical Practice licenses in Oregon










Other Doctors licenses in Oregon