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YAKIMA VALLEY FARM WORKERS CLINIC NPI 1679526107


NPI Information

NPI: 1679526107
Provider Name: YAKIMA VALLEY FARM WORKERS CLINIC

Doing Business As: ROSEWOOD FAMILY HEALTH CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 38D1094457

Address:
3530 SE 88TH AVE
PORTLAND, OR
ZIP 97266
Phone: (503) 772-4335
Get Directions

YAKIMA VALLEY FARM WORKERS CLINIC is a federally qualified health center (fqhc) clinic center in Portland, OR. YAKIMA VALLEY FARM WORKERS CLINIC NPI is 1679526107. The provider is registered as an organization entity type.
The provider Is Doing Business As Rosewood Family Health Center.

The provider's business location address is:

3530 SE 88TH AVE
PORTLAND, OR
ZIP 97266-396
Phone: (503) 772-4335
Fax: (503) 772-4337

The provider's authorized official is Christy Trotter .
The authorized official title is Ceo and has the following contact phone number (509) 865-6175.

The CLIA number assigned to this NPI record is 38D1094457 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/18/2006 and was last updated on 3/21/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17126105MEDICAIDWASHINGTON
2CD9420OTHEROREGONRAILROAD MEDICARE

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.