Organization · Type 2 NPI

Village Healthcare of la Grande, Inc.

Clinic/Center · Corvallis, OR

NPI number 1154555076 Active

Practice location

656 NW Mirador Pl
Corvallis, OR 97330-4698

Call (541) 624-2040 Map

Fax (503) 200-2258

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000X200450130NP (OR)
Point of Service 305S00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1154555076

Village Healthcare of la Grande, Inc.'s National Provider Identifier is 1154555076, issued on May 6, 2009. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Corvallis, OR. The record was last updated on Nov 19, 2019.