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NORTHWEST FAMILY PRACTICE LLC NPI 1891347415


NPI Information

NPI: 1891347415
Provider Name: NORTHWEST FAMILY PRACTICE LLC

Doing Business As: NORTHWEST FAMILY PRACTICE (NWFP)

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 38D2171423

Address:
1600 NW 6TH ST
GRANTS PASS, OR
ZIP 97526
Phone: (541) 916-5500
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NORTHWEST FAMILY PRACTICE LLC is a primary care clinic center in Grants Pass, OR. NORTHWEST FAMILY PRACTICE LLC NPI is 1891347415. The provider is registered as an organization entity type.
The provider Is Doing Business As Northwest Family Practice (nwfp).

The provider's business location address is:

1600 NW 6TH ST
GRANTS PASS, OR
ZIP 97526-094
Phone: (541) 916-5500
Fax: (541) 916-5010

The provider's authorized official is Gail Giltner .
The authorized official title is Cfnp/owner and has the following contact phone number (541) 916-5500.

The CLIA number assigned to this NPI record is 38D2171423 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/13/2019 and was last updated on 1/26/2023.


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
1261QP2300XClinic/CenterPrimary CareYes

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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