FOUR RIVERS HEALTHCARE CLINIC NPI 1588999007

NPI Information

NPI: 1588999007
Provider Name: FOUR RIVERS HEALTHCARE CLINIC
Classification: Clinical Nurse Specialist - 364SF0001X
Entity Type: Organization

Specialization: Family Health

Address:
932 W IDAHO AVE STE 100
ONTARIO, OR
ZIP 97914
Phone: (541) 889-2244
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FOUR RIVERS HEALTHCARE CLINIC is a family health clinical nurse specialist in Ontario, OR. FOUR RIVERS HEALTHCARE CLINIC NPI is 1588999007. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

932 W IDAHO AVE STE 100
ONTARIO, OR
ZIP 97914-155
Phone: (541) 889-2244
Fax: (541) 889-2626

The provider's authorized official is Jody Aileen Stark .
The authorized official title is President and has the following contact phone number (541) 889-2244.

The enumeration date for this NPI number is 10/16/2009 and was last updated on 10/16/2009.

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
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	200550081NP	OREGON	No
2	364SF0001X	Clinical Nurse Specialist	Family Health	07904	OREGON	Yes

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: 5/5/2024

NPI Synchronization or Removal

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