Organization · Type 2 NPI
Confederated Tribes of Siletz
Federally Qualified Health Center (FQHC) · Siletz, OR
NPI number
1316040249
Active
Practice location
200 Gwee-Shut Rd
Siletz, OR 97380-2036
Fax (541) 444-9695
Mailing address
PO Box 320
Siletz, OR 97380-0320
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Management Agency | 251B00000X | None listed |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | 169841 (OR) |
Federally Qualified Health Center (FQHC): Definition to come...
2 other providers at this address
About NPI 1316040249
Confederated Tribes of Siletz's National Provider Identifier is 1316040249, issued on Sep 6, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Siletz, OR. The record was last updated on Sep 21, 2022.