Cherocreek Nation

NPI #1598184087 in Talent, Oregon

Provider Information

NPI Number: 1598184087
Entity Type: Organization
Organization Name: Cherocreek Nation
Primary Specialty: Public Health or Welfare
Enumeration Date: Apr 11, 2014
Last Updated: Apr 11, 2014

Practice Location

Address: 831 TALENT AVE
City: Talent
State: Oregon
ZIP Code: 97540-9613
Phone: (541) 393-9060

Authorized Official

Name: MINA CARABALLO, PHD H.C.
Title: OWNER ADMINISTRATOR
Phone: (541) 393-9060

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Public Health or Welfare	251K00000X	Primary

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