OrganizationActive
Mid-Columbia Medical Center
NPI 1053409599 · General Practice Physician · The Dalles, OR
Provider details
- NPI number
- 1053409599
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kyle King, Service Area President(503) 261-4405
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1700 E 19th St
The Dalles, OR 97058-3317
Phone: (541) 296-1111
Fax: (541) 296-7619
Street-level locationGet directions
Mailing address
1700 E 19th St
The Dalles, OR 97058-3317
Other names (DBA / former)
- Doing business as
- Adventist Health Columbia Gorge
Registry dates
- Enumerated
- 2006-10-10
- Last updated
- 2025-03-28
- Certified
- 2025-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.