Organization · Type 2 NPI

Confederated Tribes of the Grand Ronde Community of Oregon

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

NPI number 1174666358 Active

Practice location

9605 Grand Ronde Rd
Grand Ronde, OR 97347-9712

Call (503) 879-2236 Map

Fax (503) 879-5089

Mailing address

PO Box 338
Grand Ronde, OR 97347-0338

Other practice locations

  • 1011 Commercial St NE Ste 110, Salem, OR 97301-1036 · (503) 983-9900
  • 3580 SE 82nd Ave, Portland, OR 97266-2902 · (971) 339-9240

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Chiropractor 111N00000XNone listed
General Practice Dentistry 1223G0001XNone listed
Optometrist 152W00000XNone listed
General Practice Physician 208D00000XNone listed
Community Health Clinic/Center 261QC1500XNone listed
Federally Qualified Health Center (FQHC) 261QF0400X126883 (OR)
Radiology Clinic/Center 261QR0200X445142 (OR)
Clinical Medical Laboratory 291U00000X38D0862855 (OR)
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Primary 332800000XNone listed
Pharmacy 333600000X1559 (OR)
Family Nurse Practitioner 363LF0000XNone listed
Primary Care Nurse Practitioner 363LP2300XNone listed

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy: An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.

58 other providers at this address

About NPI 1174666358

Confederated Tribes of the Grand Ronde Community of Oregon's National Provider Identifier is 1174666358, issued on Feb 15, 2007. The primary taxonomy on file is Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (332800000X), and the practice location is in Grand Ronde, OR. The record was last updated on Feb 28, 2024.