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

Grande Ronde Hospital, Inc

Organization Cardiovascular Disease Physician · NPI 1497807812

Grande Ronde Hospital, Inc is a Cardiovascular Disease Physician in Boise, Idaho. Licensed in Oregon. Registered with an NPI since 2007.

Licensed in
OR
In the registry since
2007
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

300 E Jefferson St Ste 101
Boise, ID 83712-6221
Phone: (208) 336-4141
Fax: (208) 336-4035
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 14-0728 (OR)

Record details

NPI number1497807812
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Mattes — President Ceo · (541) 963-1454
NPI enumeratedJanuary 17, 2007
Last updated in NPPESApril 7, 2011
Mailing addressPo Box 3290, La Grande, OR 97850-7290

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