Healthcare Provider Details

I. General information

NPI: 1780813741
Provider Name (Legal Business Name): MOTION ORTHOPEDICS, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2009
Last Update Date: 07/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1122 W ELM AVE
HERMISTON OR
97838-6933
US

IV. Provider business mailing address

1122 W ELM AVE
HERMISTON OR
97838-6933
US

V. Phone/Fax

Practice location:
  • Phone: 541-567-1750
  • Fax: 541-567-5936
Mailing address:
  • Phone: 541-567-1750
  • Fax: 541-567-5936

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RICHARD CARPENTER
Title or Position: OWNER
Credential: M.D.
Phone: 541-567-1750