La Clinica Del Valle Family Healthcare Center Inc.

NPI #1770196016 in Phoenix, Oregon

Provider Information

NPI Number: 1770196016
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 26, 2020
Last Updated: Mar 1, 2024

Practice Location

Address: 302 W FIRST STREET
City: Phoenix
State: Oregon
ZIP Code: 97535
Phone: (541) 897-5011

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X	Primary

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La Clinica Del Valle Family Health Care Center Inc. Part of La Clinica Del Valle Family Health Care Center Inc.	Clinic/Center - Federally Qualified Health Center (FQHC)	Phoenix	AI Deep Dive
La Clinica Del Valle Family Health Care Center Inc. Part of La Clinica Del Valle Family Health Care Center Inc.	Clinic/Center - Federally Qualified Health Center (FQHC)	Phoenix	AI Deep Dive
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