TRANSITIONAL LIFE CARE CLINIC INC. NPI 1053839217

NPI Information

  • NPI: 1053839217
  • Provider Name: TRANSITIONAL LIFE CARE CLINIC, INC.
  • Classification: Family Medicine - 207QA0505X
  • Specialization: Adult Medicine
  • Entity Type: Organization
  • CLIA Number: 38D2137851
  • Address: 15604 SW ROCK OF AGES RD
    MCMINNVILLE, OR
    ZIP 97128
  • Phone: (971) 261-6130

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NPI Details

TRANSITIONAL LIFE CARE CLINIC, INC. is an adult medicine family medicine in Mcminnville, OR. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. TRANSITIONAL LIFE CARE CLINIC, INC. NPI is 1053839217. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

15604 SW ROCK OF AGES RD
MCMINNVILLE, OR
ZIP 97128-531
Phone: (971) 261-6130
Fax: (971) 241-6146

The provider's authorized official is Delvin Zook .
The authorized official title is Administrator and has the following contact phone number (503) 550-4750.

The CLIA number assigned to this NPI record is 38D2137851 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/7/2017 and was last updated on 11/21/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QA0505XFamily MedicineAdult MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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