La Clinica Del Valle Family Healthcare Center Inc.

NPI #1215540398 in Talent, Oregon

Provider Information

NPI Number
1215540398
Entity Type
Organization
Organization Name
La Clinica Del Valle Family Healthcare Center Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
LA CLINICA DEL VALLE FAMILY HEALTHCARE CENTER INC.
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Aug 28, 2020
Last Updated
Aug 28, 2020

Practice Location

Address
102 CHRISTIAN AVENUE
City
Talent
State
Oregon
ZIP Code
97540
Phone
(541) 535-1552

Authorized Official

Name
TRACI FOSSEN
Title
CHIEF QUALITY OFFICER
Phone
(541) 512-3912

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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