Confederated Tribes of the Grand Ronde Community of Oregon

NPI #1174666358 in Grand Ronde, Oregon

Provider Information

NPI Number
1174666358
Entity Type
Organization
Organization Name
Confederated Tribes of the Grand Ronde Community of Oregon
Primary Specialty
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Enumeration Date
Feb 15, 2007
Last Updated
Feb 28, 2024

Practice Location

Address
9605 GRAND RONDE RD
State
Oregon
ZIP Code
97347-9712
Phone
(503) 879-2236

Authorized Official

Name
KELLY D ROWE
Title
EXECUTIVE DIRECTOR HEALTH SERVICES
Phone
(503) 879-2075

Specialties & Taxonomy Codes

Specialty
Optometrist
General Practice
Clinic/Center - Community HealthCommunity Health
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)
Clinic/Center - RadiologyRadiology
Clinical Medical Laboratory
Counselor
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)
Chiropractor
Dentist - General PracticeGeneral Practice
Pharmacy
Nurse Practitioner - FamilyFamily
Nurse Practitioner - Primary CarePrimary Care
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy

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