Confederated Tribes of Warm Springs Reservation of Oregon

NPI #1902110968 in Warm Springs, Oregon

Provider Information

NPI Number
1902110968
Entity Type
Organization
Organization Name
Confederated Tribes of Warm Springs Reservation of Oregon
Primary Specialty
Clinic/Center
Enumeration Date
Aug 2, 2010
Last Updated
Feb 1, 2022

Practice Location

Address
1270 KOT-NUM RD
State
Oregon
ZIP Code
97761
Phone
(541) 553-1196

Authorized Official

Name
MR. MICHELE STACONA
Title
SECRETARY/TREASURER-CEO
Phone
(541) 553-3232

Specialties & Taxonomy Codes

Specialty
Public Health or Welfare
Community/Behavioral Health
Clinic/Center - Public Health, State or LocalPublic Health, State or Local
Clinic/Center

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