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Winding Waters Clinic Pc
Rural Health Clinic/Center in Wallowa, Oregon
NPI 1932323474

Winding Waters Clinic Pc is a Rural Health Clinic/Center based in Enterprise, OR and is specialized in Rural Health. Winding Waters Clinic Pc practices in Wallowa, OR. The NPI Number for Winding Waters Clinic Pc is 1932323474 and holds a License No. (Oregon).

The current practice location address for Winding Waters Clinic Pc is 203 E First Street, Wallowa, OR and can be reached out via phone at 541-886-2431 and via fax at 541-886-2211.

Location: 203 E First Street, Wallowa, OR, 97828-1168
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1932323474
Provider Name
Winding Waters Clinic Pc
Credential
Provider Entity Type
Organization
Address
203 E First Street, Wallowa, OR, 97828-1168
Phone Number
541-886-2431
Fax Number
541-886-2211
Provider Enumeration Date
04/13/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
223198 05 OR
5966000 01 OR BCBS PROVIDER NUMBER
CG2920 01 OR MEDICARE RAILROAD
institution
Provider Business Practice Location Address Details
Address
203 E First Street
City
Wallowa
State
Oregon
Zip
97885-9999
Phone Number
541-886-2431
Fax Number
541-886-2211
person
Provider Business Mailing Address Details
Address
203 E First Street
City
Wallowa
State
Oregon
Zip
97885-9999
Phone Number
541-886-2431
Fax Number
541-886-2211
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
383865 (Oregon)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
()
Definition
Definition to come...
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