CLUB NORTHWEST is a multi-specialty clinic center in Grants Pass, OR. CLUB NORTHWEST NPI is 1356854830. The provider is registered as an organization entity type.
The provider's business location address is:
2160 NW VINE ST
GRANTS PASS, OR
ZIP 97526-439
Phone: (541) 955-2582
The provider's authorized official is Stacy Rae Cappadona .
The authorized official title is Registered Dietitian and has the following contact phone number (541) 955-2582.
The enumeration date for this NPI number is 11/7/2017 and was last updated on 11/7/2017.