Organization · Type 2 NPI
Jordan Valley Health Clinic, Inc.
Medical Physician Assistant · Jordan Valley, OR
NPI number
1093733248
Active
Practice location
400 Iowa Ave.
Jordan Valley, OR 97910
Fax (541) 586-2419
Mailing address
PO Box 118
Jordan Valley, OR 97910-0118
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | MD09143 (OR) |
Medical Physician Assistant: Definition to come...
About NPI 1093733248
Jordan Valley Health Clinic, Inc.'s National Provider Identifier is 1093733248, issued on Jul 17, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Jordan Valley, OR. The record was last updated on Feb 13, 2008.