Organization · Type 2 NPI

La Clinica del Valle Family Healthcare Center Inc.

Federally Qualified Health Center (FQHC) · Phoenix, OR

NPI number 1770196016 Active

Practice location

302 W First Street
Phoenix, OR 97535

Fax (541) 897-5163

Mailing address

931 Chevy Way
Medford, OR 97504-4127

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

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

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About NPI 1770196016

La Clinica del Valle Family Healthcare Center Inc.'s National Provider Identifier is 1770196016, issued on Aug 26, 2020. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Phoenix, OR. The record was last updated on Mar 1, 2024.