Provider Demographics
NPI:1932123601
Name:ORGUL, ONDER (MD)
Entity type:Individual
Prefix:
First Name:ONDER
Middle Name:
Last Name:ORGUL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 W POPLAR ST STE 100
Mailing Address - Street 2:
Mailing Address - City:WALLA WALLA
Mailing Address - State:WA
Mailing Address - Zip Code:99362-2800
Mailing Address - Country:US
Mailing Address - Phone:509-897-8100
Mailing Address - Fax:509-897-5738
Practice Address - Street 1:301 W POPLAR ST STE 100
Practice Address - Street 2:
Practice Address - City:WALLA WALLA
Practice Address - State:WA
Practice Address - Zip Code:99362-2800
Practice Address - Country:US
Practice Address - Phone:509-897-8100
Practice Address - Fax:509-897-5738
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00040743207R00000X, 207RN0300X
WA40743207RN0300X
MTMED-PHYS-LIC-80478207RN0300X
ORMD196050207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8359515Medicaid
WA8359515Medicaid
WAAB39139Medicare ID - Type Unspecified
WAG8892565Medicare PIN