Organization · Type 2 NPI
Cow Creek Band of Umpqua Tribe of Indians
Federally Qualified Health Center (FQHC) · Canyonville, OR
NPI number
1134567993
Active
Practice location
480 Wartahoo Ln
Canyonville, OR 97417-9683
Fax (855) 670-1791
Mailing address
2371 NE Stephens St, Suite 200
Roseburg, OR 97470-1372
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center | 261Q00000X | None listed |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
2 other providers at this address
Other federally qualified health center (fqhc) providers in Canyonville
About NPI 1134567993
Cow Creek Band of Umpqua Tribe of Indians's National Provider Identifier is 1134567993, issued on Jun 13, 2013. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Canyonville, OR. The record was last updated on Aug 5, 2021.