Confederated Tribes of Grand Ronde Community of Oregon DBA Gr Health &
NPI #1104164359 in Grand Ronde, Oregon
Provider Information
- NPI Number
- 1104164359
- Entity Type
- Organization
- Organization Name
- Confederated Tribes of Grand Ronde Community of Oregon DBA Gr Health &
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- CONFEDERATED TRIBES OF GRAND RONDE COMMUNITY OF OREGON
- Primary Specialty
- Clinic/Center - Community Health
- Enumeration Date
- Jan 23, 2013
- Last Updated
- Jan 23, 2013
Practice Location
- Address
- 9605 GRAND RONDE RD
- City
- Grand Ronde
- State
- Oregon
- ZIP Code
- 97347-9712
- Phone
- (503) 879-2236
Authorized Official
- Name
- MR. MARK JOHNSTON
- Title
- GENERAL MANAGER
- Phone
- (503) 879-4638
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Community Health — Community Health |
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