Organization · Type 2 NPI

La Clinica del Valle Family Health Care Center Inc.

Federally Qualified Health Center (FQHC) · Medford, OR

NPI number 1679896278 Active

Practice location

221 W Stewart Ave
Medford, OR 97501-3609

Call (541) 690-3500 Map

Mailing address

931 Chevy Way
Medford, OR 97504-4127

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

3 other providers at this address

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Philip Y Paden Eye Care OpticalEyewear Supplier Medford, OR NPI 1043213143
Carla Bloem, PA-CMedical Physician Assistant Medford, OR NPI 1033146980

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NPI record

NPI: 1679896278
Entity type: Organization (Type 2)
Issued: Mar 10, 2010
Last updated: May 24, 2019
Status: Active

Other names

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Women's Health Center la Clinica · doing business as
Women's Health Center la Clinica · doing business as

Authorized official

Mrs. Brenda Irene Johnson, RN, MBA
CEO
(541) 512-3151

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About NPI 1679896278

La Clinica del Valle Family Health Care Center Inc.'s National Provider Identifier is 1679896278, issued on Mar 10, 2010. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Medford, OR. The record was last updated on May 24, 2019.