Make Payment

Instruction for online payment procedure:

(For Mountain Valley Therapy patients only)

Please fill out the form below. Upon clicking the “MAKE A PAYMENT” button, your information will be taken to a secure external site, where you will input additional payment information. There will be an option to print a receipt upon payment completion.

Thank you for using our free online payment service!

*Cardholder Full Name

*Cardholder Phone Number (format = xxx-yyy-zzzz)

*Cardholder Email

*Cardholder Billing Address

*Cardholder Billing Zip

*Patient Name and Account Number

*Amount (format = $$.CC)

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Monday - Thursday: 7:00 am - 5:30 pm
Friday: 7:00 am - 4:00 pm
2519 Cove Avenue
La Grande, OR 97850
(541) 962-0830 - Office
(541) 975-2720 - Fax

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Make a Payment