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Contact Information

FOUR RIVERS HEALTHCARE CLINIC
932 W IDAHO AVE STE 100
ONTARIO, OR97914-2155
 Phone: 541-889-2244
 Fax: 541-889-2626
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Health

364SF0001X 89 Certified Clinical Nurse Specialist
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for FOUR RIVERS HEALTHCARE CLINIC · (Female)

NPI # 1588999007
Status Active
Credentials
Entity Individual
Enumeration date 10/16/2009
Last updated 10/16/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • OR License # 07904
  • OR License # 200550081NP
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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