Whalio Doctors

NPI 1174666358

Confederated Tribes of the Grand Ronde Community of Oregon

Organisation Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Grand Ronde, OR

Practice location

Address
9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712
Phone
(503) 879-2236
Fax
(503) 879-5089
Mailing address
PO Box 338, Grand Ronde, OR 97347-0338

Authorised official

Name
Kelly D Rowe
Title
Executive Director Health Services
Phone
(503) 879-2075

Registered specialties (14)

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Primary
Suppliers Taxonomy 332800000X
Counselor
Behavioral Health & Social Service Providers Taxonomy 101Y00000X
Addiction (Substance Use Disorder) Counselor
Behavioral Health & Social Service Providers Taxonomy 101YA0400X
Chiropractor
Chiropractic Providers Taxonomy 111N00000X
General Practice Dentistry
Dental Providers Taxonomy 1223G0001X
Optometrist
Eye and Vision Services Providers Taxonomy 152W00000X
General Practice Physician
Allopathic & Osteopathic Physicians Taxonomy 208D00000X
Community Health Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QC1500X
Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities Taxonomy 261QF0400X Licence 126883 (OR)
Radiology Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QR0200X Licence 445142 (OR)
Clinical Medical Laboratory
Laboratories Taxonomy 291U00000X Licence 38D0862855 (OR)
Pharmacy
Suppliers Taxonomy 333600000X Licence 1559 (OR)
Family Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X
Primary Care Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP2300X

Registry record

NPI
1174666358
Entity type
Organization
NPI issued
15 Feb 2007
Record last updated
28 Feb 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.