Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Grande Ronde Hospital, Inc

Organization Family Medicine Physician · NPI 1093296519

Grande Ronde Hospital, Inc provides Family Medicine Physician services in LA Grande, Oregon. Licensed in Oregon. Registered with an NPI since 2018.

Licensed in
OR
In the registry since
2018
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10303 S Walton Rd
LA Grande, OR 97850
Phone: (541) 962-7845
Fax: (541) 975-5225
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X · Licence 140728 (OR)
Family Medicine Physician Taxonomy 207Q00000X
Urgent Care Clinic/Center Taxonomy 261QU0200X

Record details

NPI number1093296519
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angela Callahan — Credentialing Coordinator · (541) 963-1967
Other names Grande Ronde Hospital Urgent Care; Grande Ronde Hospital Walk-In Clinic; Grande Ronde Hospital Walk-In Clinic
NPI enumeratedAugust 23, 2018
Last updated in NPPESOctober 21, 2025
Certification dateOctober 21, 2025
Mailing addressPo Box 3290, La Grande, OR 97850-7290

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