Gorge Valley Medicine, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

GORGE VALLEY MEDICINE, LLC

Practice address

1631 Woods CT Ste 103
Hood River, OR 97031-2916

Phone

(541) 346-3880

NPI assigned

May 1, 2019

Last updated

May 1, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ann M Rust, MDNPI 1447475223

Title

Owner

Phone

(541) 965-9164

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ann Marie Rust, MD

  • Surgery Physician
  • Hermiston, OR
  • NPI 1447475223
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1556668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556668800000",
    "number": "1497319800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 BROWNS RD",
            "city": "GOLDENDALE",
            "state": "WA",
            "postal_code": "986202325",
            "telephone_number": "541-965-9164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 WOODS CT STE 103",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970312916",
            "telephone_number": "541-346-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORGE VALLEY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-01",
        "last_updated": "2019-05-01",
        "status": "A",
        "authorized_official_last_name": "RUST",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-965-9164",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Good Grief, LLC
• Good River Naturopathic, LLC
• Gorge Body Therapy
• Gorge Spine & Sports Medicine PC
• Gorge to Summit Physical Therapy & Pilates Studio LLC (Gorge To Summit Physical Therapy & Pilates Studio)
• Rebecca Anne Goss, QMHA
• Treena Kay Gower Foster
• Hayley Gray, PHARMD
• Tyler Thomas Gray, MD
• Stefanie Greenleaf

• Multi-Specialty Clinic/Center in Hood River, OR
• Providers in Hood River, OR by specialty
• Multi-Specialty Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.