Cow Creek Band of Umpqua Tribe of Indians
NPI #1134567993 in Canyonville, Oregon
Provider Information
- NPI Number
- 1134567993
- Entity Type
- Organization
- Organization Name
- Cow Creek Band of Umpqua Tribe of Indians
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Jun 13, 2013
- Last Updated
- Aug 5, 2021
Practice Location
- Address
- 480 WARTAHOO LN
- City
- Canyonville
- State
- Oregon
- ZIP Code
- 97417-9683
- Phone
- (541) 839-1345
Authorized Official
- Name
- SHARON A STANPHILL
- Title
- CHIEF HEALTH OFFICER
- Phone
- (541) 672-8533
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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| Cow Creek Health & Wellness Annex |  AI Deep Dive |
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