Active NPI 1982714879 Individual Practitioner Male Practitioner

Dr. James Warren Winde , MD

Family Medicine • Pendleton, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Winde, MD is a certified Family Medicine practicing in Pendleton, OR. With approximately 33 years of clinical experience since graduating from Texas Tech University Health Science Center School Of Medicine in 1993, Dr. Winde delivers high-quality medical care to the local community at 46314 TIMINE WAY.

Dr. Winde is affiliated with Yellowhawk Tribal Health Center and accepts Medicare assignment.

Frequently performed procedures and clinical services include insertion of needle into vein for collection of blood sample, established patient outpatient office visit, complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

46314 Timine Way

Pendleton, OR 978019417

Telephone 5419669830

Fax 5412408751

Associated Practice Facility / Clinic

🏢 Yellowhawk Tribal Health Center Facility NPI 1346283488

Medicare Profile & Education

Medical School

Texas Tech University Health Science Center School Of Medicine

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Family Medicine in Pendleton, OR

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs +7.0 yrs vs City Avg

City Avg: 26.0 Yrs

State Avg: 21.0 Yrs

Regional Practice Density

12 Specialists

Practicing in Pendleton, OR (2953 Statewide)

Telehealth Adoption Rate

16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

63.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Winde (33 Years) 33 Yrs

Pendleton Specialty Average (26.0 Years) 26.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	336	156	$13.00	$8.65
99213 Established patient office or other outpatient visit, typically 15 minutes	193	93	$234.03	$87.52
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	188	122	$23.00	$7.61
80053 Blood test, comprehensive group of blood chemicals	169	111	$31.00	$10.35
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	135	34	$65.00	$22.54
83036 Hemoglobin A1C level	106	62	$36.00	$9.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	104	65	$322.62	$123.51
90480 Admn sarscov2 vacc 1 dose	95	81	$100.00	$41.67
91320 Sarscv2 vac 30mcg trs-suc im	93	79	$190.32	$144.34
80061 Blood test, lipids (cholesterol and triglycerides)	89	79	$39.00	$13.12
84443 Blood test, thyroid stimulating hormone (TSH)	82	71	$45.00	$16.46
82570 Creatinine level to test for kidney function or muscle injury	82	62	$19.00	$5.08
81000 Manual urinalysis test with examination using microscope, non-automated	81	58	$17.00	$3.94
G0008 Administration of influenza virus vaccine	81	79	$50.62	$31.25
84439 Thyroxine (thyroid chemical), free	78	67	$33.00	$8.84
90662 Influenza vaccine split virus, preservative free	76	74	$72.84	$71.39
82043 Urine microalbumin (protein) level	56	43	$25.00	$5.66
82306 Vitamin d-3 level	55	53	$70.00	$29.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	49	36	$145.88	$54.51
80069 Kidney function blood test panel	45	34	$25.00	$8.51
84156 Total protein level, urine	31	25	$22.00	$3.60
83970 Parathormone (parathyroid hormone) level	26	23	$121.00	$40.45
71046 X-ray of chest, 2 views	18	15	$162.00	$32.40
86140 Measurement C-reactive protein for detection of infection or inflammation	17	14	$27.00	$5.08
96381 Admn rsv monoc antb im njx	17	17	$100.00	$19.00
84550 Uric acid level, blood	15	12	$13.00	$4.43
82746 Folic acid level	14	14	$51.00	$14.41
83540 Iron level	14	13	$24.00	$6.34
84466 Transferrin (iron binding protein) level	14	13	$43.00	$12.50
82728 Ferritin (blood protein) level	14	13	$37.00	$13.36
82607 Cyanocobalamin (vitamin B-12) level	14	14	$50.00	$14.78
90471 Administration of 1 vaccine	14	14	$59.57	$19.89
90658 Influenza vaccine, trivalent, 0.5 ml dosage	12	12	$35.00	$21.42
76770 Complete ultrasound scan behind abdominal cavity	11	11	$489.00	$104.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	312	136	$13.00	$8.40
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	194	114	$23.00	$7.61
99213 Established patient office or other outpatient visit, typically 15 minutes	180	94	$232.43	$86.77
80053 Blood test, comprehensive group of blood chemicals	169	111	$31.00	$10.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	156	78	$332.31	$122.75
83036 Hemoglobin A1C level	120	70	$36.00	$9.52
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	105	30	$65.00	$22.35
80061 Blood test, lipids (cholesterol and triglycerides)	85	74	$39.00	$13.12
84443 Blood test, thyroid stimulating hormone (TSH)	82	72	$45.00	$16.46
84439 Thyroxine (thyroid chemical), free	78	69	$33.00	$8.84
90662 Influenza vaccine split virus, preservative free	77	77	$69.00	$67.62
81000 Manual urinalysis test with examination using microscope, non-automated	62	47	$17.00	$3.94
82306 Vitamin d-3 level	58	55	$70.00	$29.01
90480 Admn sarscov2 vacc 1 dose	58	58	$92.24	$39.39
82570 Creatinine level to test for kidney function or muscle injury	51	47	$19.00	$5.08
90471 Administration of 1 vaccine	46	42	$58.04	$19.41
82043 Urine microalbumin (protein) level	40	38	$25.00	$5.66
G0008 Administration of influenza virus vaccine	39	38	$60.26	$29.54
91320 Sarscv2 vac 30mcg trs-suc im	37	37	$86.49	$82.93
80048 Blood test, basic group of blood chemicals (calcium, total)	23	16	$25.00	$8.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	18	$180.50	$54.37
83970 Parathormone (parathyroid hormone) level	21	13	$121.00	$40.45
82746 Folic acid level	20	18	$51.00	$14.41
82607 Cyanocobalamin (vitamin B-12) level	20	18	$50.00	$14.78
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	19	19	$619.16	$281.87
71046 X-ray of chest, 2 views	15	11	$162.00	$32.60
86140 Measurement C-reactive protein for detection of infection or inflammation	13	13	$27.00	$5.08
0124A Fee covid-19 vac 13 res	11	11	$95.45	$39.39
84156 Total protein level, urine	11	11	$22.00	$3.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	248	116	$13.00	$2.96
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	182	64	$65.00	$22.24
80053 Blood test, comprehensive group of blood chemicals	172	98	$31.00	$10.42
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	157	96	$23.00	$7.67
99213 Established patient office or other outpatient visit, typically 15 minutes	145	88	$200.41	$87.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	98	57	$296.90	$123.44
83036 Hemoglobin A1C level	96	67	$36.00	$9.59
0124A Fee covid-19 vac 13 res	95	95	$101.05	$37.38
0004A Fee covid-19 vac 1 res	86	86	$106.31	$37.68
G0008 Administration of influenza virus vaccine	85	85	$99.53	$28.20
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	82	82	$140.00	$70.25
84443 Blood test, thyroid stimulating hormone (TSH)	61	54	$45.00	$16.60
81000 Manual urinalysis test with examination using microscope, non-automated	59	44	$17.00	$3.97
84439 Thyroxine (thyroid chemical), free	59	52	$33.00	$8.91
80061 Blood test, lipids (cholesterol and triglycerides)	58	55	$39.00	$13.25
82306 Vitamin d-3 level	47	45	$70.00	$29.27
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	44	41	$272.00	$50.71
82043 Urine microalbumin (protein) level	33	31	$25.00	$5.71
82570 Creatinine level to test for kidney function or muscle injury	32	30	$19.00	$5.13
71046 X-ray of chest, 2 views	23	17	$162.00	$32.59
90471 Administration of 1 vaccine	22	21	$60.00	$16.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	18	$129.75	$54.28
82607 Cyanocobalamin (vitamin B-12) level	17	17	$50.00	$14.96
82746 Folic acid level	17	17	$51.00	$14.58
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	14	14	$34.00	$21.09
87637 Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus	11	11	$297.45	$140.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
0002A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; second dose	257	257	$62.30	$27.36
36415 Insertion of needle into vein for collection of blood sample	255	132	$13.00	$3.00
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	196	72	$84.03	$22.13
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	170	111	$23.00	$7.77
0003A Adm sarscov2 30mcg/0.3ml 3rd	160	160	$68.33	$38.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	144	77	$266.27	$126.47
80053 Blood test, comprehensive group of blood chemicals	135	93	$31.00	$10.56
0001A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; first dose	110	110	$60.73	$17.97
83036 Hemoglobin A1C level	103	71	$36.00	$9.71
99213 Established patient office or other outpatient visit, typically 15 minutes	101	61	$182.81	$89.00
G0008 Administration of influenza virus vaccine	96	96	$67.92	$16.36
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	90	90	$96.50	$66.43
81000 Manual urinalysis test with examination using microscope, non-automated	88	70	$17.00	$4.02
80061 Blood test, lipids (cholesterol and triglycerides)	88	80	$39.00	$13.39
84443 Blood test, thyroid stimulating hormone (TSH)	82	71	$45.00	$16.80
84439 Thyroxine (thyroid chemical), free	73	65	$33.00	$9.02
82043 Urine microalbumin (protein) level	69	60	$25.00	$5.78
82570 Creatinine level to test for kidney function or muscle injury	66	57	$19.00	$5.18
82306 Vitamin d-3 level	55	52	$70.00	$29.60
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	51	45	$271.99	$51.31
84520 Urea nitrogen level to assess kidney function	38	34	$12.00	$3.95
82565 Blood creatinine level	38	34	$15.00	$5.12
82310 Calcium level, total	35	31	$15.00	$5.16
84132 Blood potassium level	34	31	$13.00	$4.76
82374 Carbon dioxide (bicarbonate) level	34	31	$21.00	$4.88
84295 Blood sodium level	34	31	$20.38	$4.81
84075 Phosphatase (enzyme) level, alkaline	30	28	$15.00	$5.18
82040 Albumin (protein) level	29	28	$15.00	$4.95
84460 Liver enzyme (sgpt), level	29	28	$16.00	$5.30
84450 Liver enzyme (sgot), level	29	28	$15.00	$5.18
84155 Total protein level, blood	29	28	$13.00	$3.67
82247 Bilirubin level	29	28	$26.00	$5.02
82607 Cyanocobalamin (vitamin B-12) level	28	28	$50.00	$15.08
82746 Folic acid level	27	27	$51.00	$14.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	22	$120.52	$54.77
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	20	17	$16.00	$4.27
80305 Testing for presence of drug, read by direct observation	20	15	$24.25	$12.60
80048 Blood test, basic group of blood chemicals (calcium, total)	18	11	$25.00	$8.46
80069 Kidney function blood test panel	17	13	$25.00	$8.68
82947 Blood glucose (sugar) level	16	16	$12.00	$3.93
71046 X-ray of chest, 2 views	16	14	$162.00	$32.71
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	14	14	$34.00	$20.53
90471 Administration of 1 vaccine	11	11	$60.00	$16.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	208	64	$106.92	$22.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	156	88	$290.31	$107.47
36415 Insertion of needle into vein for collection of blood sample	151	87	$13.00	$2.98
0001A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; first dose	142	142	$60.00	$16.88
99213 Established patient office or other outpatient visit, typically 15 minutes	105	69	$207.04	$74.02
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	101	73	$23.00	$7.73
G0008 Administration of influenza virus vaccine	67	67	$59.55	$16.51
83036 Hemoglobin A1C level	66	46	$36.00	$9.65
81000 Manual urinalysis test with examination using microscope, non-automated	55	48	$17.00	$3.99
90662 Influenza vaccine split virus, preservative free	52	52	$73.18	$60.85
82310 Calcium level, total	50	41	$15.00	$5.16
84443 Blood test, thyroid stimulating hormone (TSH)	50	46	$45.00	$16.70
82565 Blood creatinine level	50	41	$15.00	$5.12
84132 Blood potassium level	50	41	$13.00	$4.76
84520 Urea nitrogen level to assess kidney function	49	40	$12.00	$3.95
82374 Carbon dioxide (bicarbonate) level	49	40	$21.00	$4.88
84295 Blood sodium level	49	40	$11.00	$4.81
80053 Blood test, comprehensive group of blood chemicals	48	41	$31.00	$10.44
80061 Blood test, lipids (cholesterol and triglycerides)	48	45	$39.00	$13.31
84460 Liver enzyme (sgpt), level	46	37	$16.00	$5.30
84450 Liver enzyme (sgot), level	46	37	$15.00	$5.18
84439 Thyroxine (thyroid chemical), free	46	44	$33.00	$8.97
84155 Total protein level, blood	46	37	$13.00	$3.67
84075 Phosphatase (enzyme) level, alkaline	46	37	$15.00	$5.18
82247 Bilirubin level	46	37	$26.00	$5.02
82040 Albumin (protein) level	46	37	$15.00	$4.95
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	41	38	$271.72	$51.31
82043 Urine microalbumin (protein) level	35	34	$25.00	$5.74
82570 Creatinine level to test for kidney function or muscle injury	31	30	$19.00	$5.14
82947 Blood glucose (sugar) level	28	26	$12.00	$3.93
80305 Testing for presence of drug, read by direct observation	21	14	$28.81	$12.55
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	16	16	$35.69	$19.35
82306 Vitamin d-3 level	15	15	$70.00	$29.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	647	361	$170.76	$109.73
99213 Established patient office or other outpatient visit, typically 15 minutes	97	86	$138.16	$74.72
36415 Insertion of needle into vein for collection of blood sample	53	42	$13.00	$2.94
G0008 Administration of influenza virus vaccine	48	48	$51.56	$16.20
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	37	34	$23.00	$8.46
90653 Vaccine for influenza for injection into muscle	36	36	$73.56	$58.34
80053 Blood test, comprehensive group of blood chemicals	35	34	$31.00	$11.51
83036 Hemoglobin A1C level	32	32	$36.00	$10.57
80061 Blood test, lipids (cholesterol and triglycerides)	31	31	$39.00	$14.58
81000 Manual urinalysis test with examination using microscope, non-automated	25	24	$17.00	$3.94
84443 Blood test, thyroid stimulating hormone (TSH)	25	25	$45.00	$18.30
82043 Urine microalbumin (protein) level	25	25	$25.00	$6.29
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	24	19	$102.43	$22.41
84439 Thyroxine (thyroid chemical), free	24	24	$33.00	$9.82
82570 Creatinine level to test for kidney function or muscle injury	23	23	$19.00	$5.63
81002 Urinalysis, manual test	18	18	$10.00	$3.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$246.95	$166.27
99496 Transitional care management services for problem of high complexity	13	12	$350.11	$234.14
82306 Vitamin d-3 level	12	12	$70.00	$32.23
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	11	11	$35.17	$18.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	427	263	$110.44	$71.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	221	159	$162.44	$105.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$162.72	$105.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$246.95	$161.17
G0008 Administration of influenza virus vaccine	14	14	$40.00	$20.58
99496 Transitional care management services for problem of high complexity	14	13	$350.11	$226.85
81002 Urinalysis, manual test	13	12	$10.00	$3.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	161	137	$110.74	$71.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	107	80	$162.40	$105.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$162.64	$105.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$246.96	$160.95

Medical Specialties & State Licenses

Family Medicine Primary Specialty

NUCC Taxonomy Code: 207Q00000X

State License WA MD60020421

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Specialist

NUCC Taxonomy Code: 174400000X

State License OR MD20809

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.

Internal Medicine - Sleep Medicine

NUCC Taxonomy Code: 207RS0012X

State License OR MD20809

An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

150729 (OR)

Commercial Insurance / Payer ID Medicare Railroad

P00229051 (OR)

Hospital & Practice Group Affiliations

Yellowhawk Tribal Health Center

46314 Timine Way, Pendleton, OR 978019417

Phone: 5419669830

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

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Peer Specialist

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Dr. Waldon Zimmerman , DMD

Dentist

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Doctor of Dental Medicine

Ian Sampson

Peer Specialist

NPI 1013403286

Amy Allen , RN

Registered Nurse

NPI 1013792696

Registered Nurse

Allan Jio

Pharmacist

NPI 1013928563

Anna Allen , RPH

Pharmacist

NPI 1033492822

Registered Pharmacist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location September 17, 2019

Registered at 46314 TIMINE WAY, PENDLETON, OR 978019417 (Tel: 5419669830)

📍

Updated Business Mailing Address September 17, 2019

Registered at 46314 TIMINE WAY, PENDLETON, OR 978019417 (Tel: 5419669830)

✅

NPI Profile Active September 15, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location September 15, 2014

Registered at 5486 HARBOR AVE, FREELAND, WA 982493002 (Tel: 3603315060)

📍

Updated Business Mailing Address September 15, 2014

Registered at 275 SE CABOT DR STE B101, OAK HARBOR, WA 982773740 (Tel: 3603315060)

👤

Provider Name / Credentials Updated September 15, 2014

Recorded as JAMES WINDE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 15, 2014

Specialist (License #MD20809 in OR)

🟢

Initial NPI Registration & Enumeration August 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1982714879

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 30, 2006

Last Update: September 17, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

46314 Timine Way

Pendleton, OR 978019417

Phone: 5419669830

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.