Canyon Creek Chic LLC

NPI #1659098531 in John Day, Oregon

Provider Information

NPI Number
1659098531
Entity Type
Organization
Organization Name
Canyon Creek Chic LLC
Primary Specialty
Clinic/Center - Medical Specialty
Enumeration Date
Oct 21, 2022
Last Updated
Oct 21, 2022

Practice Location

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

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Medical SpecialtyMedical Specialty

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