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Club Northwest
Multi-Specialty Clinic/Center in Grants Pass, Oregon
NPI 1356854830

Club Northwest is a Multi-Specialty Clinic/Center based in Grants Pass, OR and is specialized in Multi-Specialty. Club Northwest practices in Grants Pass, OR. The NPI Number for Club Northwest is 1356854830 and holds a License No. (Oregon).

The current practice location address for Club Northwest is 2160 Nw Vine St, Grants Pass, OR and can be reached out via phone at 541-955-2582.

Location: 2160 Nw Vine St, Grants Pass, OR, 97526-8439
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356854830
Provider Name
Club Northwest
Credential
Provider Entity Type
Organization
Address
2160 Nw Vine St, Grants Pass, OR, 97526-8439
Phone Number
541-955-2582
Fax Number
Provider Enumeration Date
11/07/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2160 Nw Vine St
City
Grants Pass
State
Oregon
Zip
97526-8439
Phone Number
541-955-2582
Fax Number
person
Provider Business Mailing Address Details
Address
2160 Nw Vine St
City
Grants Pass
State
Oregon
Zip
97526-8439
Phone Number
541-955-2582
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
()
Definition
Definition to come...
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