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REAL HEALTH CORPORATION NPI 1750670493


NPI Information

NPI: 1750670493
Provider Name: REAL HEALTH CORPORATION

Doing Business As: REDWOOD FAMILY PRACTICE

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 38D2163415

Address:
825 NE 7TH ST
GRANTS PASS, OR
ZIP 97526
Phone: (541) 955-7246
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REAL HEALTH CORPORATION is a family nurse practitioner in Grants Pass, OR. REAL HEALTH CORPORATION NPI is 1750670493. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Redwood Family Practice.

The provider's business location address is:

825 NE 7TH ST
GRANTS PASS, OR
ZIP 97526-634
Phone: (541) 955-7246
Fax: (541) 471-1928

The provider's authorized official is David Michael Ray .
The authorized official title is President and has the following contact phone number (541) 955-7246.

The CLIA number assigned to this NPI record is 38D2163415 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/4/2011 and was last updated on 12/6/2018.


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
1111N00000XChiropractorNo
2225100000XPhysical TherapistNo
3363LF0000XNurse PractitionerFamilyYes

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

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