OrganizationActive
Mid-Columbia Medical Center
NPI 1164735478 · Urology Physician · The Dalles, OR
Provider details
- NPI number
- 1164735478
- Entity type
- Organization
- Primary specialty
- Urology 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(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
1805 E 19th St
The Dalles, OR 97058-0000
Phone: (541) 296-2201
Fax: (541) 296-1237
Street-level locationGet directions
Mailing address
Po Box 1520
The Dalles, OR 97058-0000
Other names (DBA / former)
- Doing business as
- Adventist Health Columbia Gorge
- Doing business as
- Gorge Urology
- Doing business as
- Gorge Urology
Registry dates
- Enumerated
- 2010-07-16
- Last updated
- 2025-04-14
- Certified
- 2025-04-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.