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Contact Information

CONFEDERATED TRIBES OF THE GRAND RONDE COMMUNITY OF OREGON
9605 GRAND RONDE RD
GRAND RONDE, OR97347-9712
 Phone: 503-879-2342
 Fax: 503-879-2030
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for CONFEDERATED TRIBES OF THE GRAND RONDE COMMUNITY OF OREGON

NPI # 1477711802
LBN Legal business name CONFEDERATED TRIBES OF THE GRAND RONDE COMMUNITY OF OREGON
Authorized official LINCOLN WRIGHT - (PHARMACY DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/02/2008
Last updated 08/12/2024 - More than a year ago
Identifiers
Other 2079588 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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