institution
Cow Creek Band Of Umpqua Tribe Of Indians
Federally Qualified Health Center (FQHC) in Roseburg, Oregon
NPI 1063502714

Cow Creek Band Of Umpqua Tribe Of Indians is a Federally Qualified Health Center (FQHC) based in Roseburg, OR and is specialized in Federally Qualified Health Center (FQHC). Cow Creek Band Of Umpqua Tribe Of Indians practices in Roseburg, OR. The NPI Number for Cow Creek Band Of Umpqua Tribe Of Indians is 1063502714 and holds a License No. (Oregon).

The current practice location address for Cow Creek Band Of Umpqua Tribe Of Indians is 2589 Nw Edenbower Blvd, Roseburg, OR and can be reached out via phone at 541-672-8533 and via fax at 855-670-1791.

Location: 2589 Nw Edenbower Blvd, Roseburg, OR, 97470-1399
institution
Provider Profile Details
NPI Number
1063502714
Provider Name
Cow Creek Band Of Umpqua Tribe Of Indians
Credential
Provider Entity Type
Organization
Address
2589 Nw Edenbower Blvd, Roseburg, OR, 97470-1399
Phone Number
541-672-8533
Fax Number
855-670-1791
Provider Enumeration Date
10/13/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
500745176 05 OR
institution
Provider Business Practice Location Address Details
Address
2589 Nw Edenbower Blvd
City
State
Zip
97471-6220
Phone Number
541-672-8533
Fax Number
855-670-1791
person
Provider Business Mailing Address Details
Address
2589 Nw Edenbower Blvd
City
State
Zip
97471-6220
Phone Number
541-672-8533
Fax Number
855-670-1791
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
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Definition
Definition to come...
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