Organization · Type 2 NPI
Confederated Tribes of Siletz
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Siletz, OR
Practice location
200 Gwee-Shut Road
Siletz, OR 97380
Fax (541) 444-9695
Mailing address
PO Box 320
Siletz, OR 97380-0320
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Primary | 332800000X | RP-0002621-CS (OR) |
| Durable Medical Equipment & Medical Supplies | 332B00000X | RP-0002621-CS (OR) |
| Clinic Pharmacy | 3336C0002X | RP-0002621-CS (OR) |
| Mail Order Pharmacy | 3336M0002X | RP-0002621-CS (OR) |
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.
6 other providers at this address
- Ashley Evelyn Taylor, DDSDentist Siletz, OR NPI 1336771674
- Delina Lynn John, CADC IAddiction (Substance Use Disorder) Counselor Siletz, OR NPI 1427345826
- Jennifer Drayton, FNP-CFamily Nurse Practitioner Siletz, OR NPI 1982030458
- Lisa D. Taylor, NPFamily Nurse Practitioner Siletz, OR NPI 1952403990
- Michael A. Knight, R.P.H.Pharmacist Siletz, OR NPI 1811062730
- Patricia Canning, PMHNPPsychiatric/Mental Health Nurse Practitioner Siletz, OR NPI 1265474316
About NPI 1891822003
Confederated Tribes of Siletz's National Provider Identifier is 1891822003, issued on Feb 27, 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 Siletz, OR. The record was last updated on Sep 21, 2022.