VILLAGE HEALTHCARE OF LA GRANDE INC. NPI 1154555076

NPI Information

VILLAGE HEALTHCARE OF LA GRANDE, INC. is a clinic center in Corvallis, OR. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). VILLAGE HEALTHCARE OF LA GRANDE, INC. NPI is 1154555076. The provider is registered as an organization entity type.
The provider Is Doing Business As Village Healthcare Of Corvallis.

The provider's business location address is:

656 NW MIRADOR PL
CORVALLIS, OR
ZIP 97330-698
Phone: (541) 624-2040
Fax: (503) 200-2258

The provider's authorized official is Renee Edwards .
The authorized official title is Manager Provider President and has the following contact phone number (541) 552-0386.

The enumeration date for this NPI number is 5/6/2009 and was last updated on 11/19/2019.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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