Canyon Creek Clinic

NPI #1356952048 in John Day, Oregon

Provider Information

NPI Number: 1356952048
Entity Type: Organization
Organization Name: Canyon Creek Clinic
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Aug 14, 2020
Last Updated: Jun 22, 2021

Practice Location

Address: 235 S CANYON BLVD
City: John Day
State: Oregon
ZIP Code: 97845-1044
Phone: (541) 575-1263

Authorized Official

Name: SHAWNA CLARK, FNP
Title: PRESIDENT
Phone: (541) 575-1263

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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