Grand Ronde Health And Wellness Center

LBN: Confederated Tribes Of The Grand Ronde Community Of Oregon
Grand Ronde Health And Wellness Center is an health care organization with primary practice located at 9605 Grand Ronde Rd , Grand Ronde OR 97347-9712. The organization recently has 14 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Chiropractic Providers / Chiropractor, Dental Providers / General Practice, Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / General Practice, Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Radiology, Laboratories / Clinical Medical Laboratory, Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy, Suppliers / Pharmacy, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy is the primary health care specialty. Confederated Tribes Of The Grand Ronde Community Of Oregon can be contacted via phone (503) 879-2236, or through Rowe, Kelly D via phone (503) 879-2075.

Contact Information

Primary practice address
9605 Grand Ronde Rd Grand Ronde OR 97347-9712
Phone: (503) 879-2236
Fax: (503) 879-5089
Website:
Map and Directions
Authorized official contact:
Name: Rowe, Kelly D
Phone: (503) 879-2075

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Chiropractic Providers / Chiropractor 111N00000X
Dental Providers / General Practice 1223G0001X
Eye and Vision Services Providers / Optometrist 152W00000X
Allopathic & Osteopathic Physicians / General Practice 208D00000X
Ambulatory Health Care Facilities / Community Health 261QC1500X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 126883 Oregon
Ambulatory Health Care Facilities / Radiology 261QR0200X 445142 Oregon
Laboratories / Clinical Medical Laboratory 291U00000X 38D0862855 Oregon
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X
Suppliers / Pharmacy 333600000X 1559 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X

Profile Details

NPI number 1174666358
LBN Legal business name Confederated Tribes Of The Grand Ronde Community Of Oregon
DBA Doing business as Grand Ronde Health And Wellness Center
Authorized official Rowe, Kelly D
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2007
Last updated Feb 28th, 2024 - about 9 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174666358 NPPES
Oregon MEDICAID 500786332

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