ORCHID OAKRIDGE CLINIC P.C. NPI 1578917076

NPI Information

NPI: 1578917076
Provider Name: ORCHID OAKRIDGE CLINIC, P.C.

Doing Business As: ORCHID HEALTH - WADE CREEK

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
535 NE 6TH AVE
ESTACADA, OR
ZIP 97023
Phone: (541) 632-3031
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ORCHID OAKRIDGE CLINIC, P.C. is a rural health clinic center in Estacada, OR. ORCHID OAKRIDGE CLINIC, P.C. NPI is 1578917076. The provider is registered as an organization entity type.
The provider Is Doing Business As Orchid Health - Wade Creek.

The provider's business location address is:

535 NE 6TH AVE
ESTACADA, OR
ZIP 97023-312
Phone: (541) 632-3031

The provider's authorized official is Orion Falvey .
The authorized official title is President/founder and has the following contact phone number (907) 314-0100.

The CLIA number assigned to this NPI record is 38D2115757 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/20/2016 and was last updated on 10/1/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	500721884	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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