MEDICARE: ONDER ORGUL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	MD00040743	WA
2	207RN0300X	Nephrology Physician	40743	WA
3	207RN0300X	Nephrology Physician	MED-PHYS-LIC-80478	MT
4	207RN0300X	Nephrology Physician	MD196050	OR
5	207RN0300X	Nephrology Physician	MD00040743	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932123601
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ONDER ORGUL MD

Provider Business Mailing Address
First Line	:	301 W POPLAR ST STE 100
Second Line	:
City	:	WALLA WALLA
State	:	WA
Zip	:	99362-2800
Country	:	US
Telephone Number	:	509-897-8100
Fax Number	:	509-897-5738

Provider Business Practice Location Address
First Line	:	301 W POPLAR ST STE 100
Second Line	:
City	:	WALLA WALLA
State	:	WA
Zip	:	99362-2800
Country	:	US
Telephone Number	:	509-897-8100
Fax Number	:	509-897-5738

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	09/23/2024

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Directions to “ ONDER ORGUL MD” Practice Location

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