Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grande Ronde Hospital, Inc

Organization Family Medicine Physician · NPI 1093296519

Grande Ronde Hospital, Inc is a Family Medicine Physician 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
Show map & directions

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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