LWAFP PC INC NPI 1871730127

NPI Information

NPI: 1871730127
Provider Name: LWAFP, PC INC

Doing Business As: ROGUE RIVER HEALTH CLINIC

Classification: Nurse Practitioner - 363LP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
216 E MAIN ST
ROGUE RIVER, OR
ZIP 97537
Phone: (541) 582-8899
Get Directions

LWAFP, PC INC is a primary care nurse practitioner in Rogue River, OR. LWAFP, PC INC NPI is 1871730127. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Rogue River Health Clinic.

The provider's business location address is:

216 E MAIN ST
ROGUE RIVER, OR
ZIP 97537-416
Phone: (541) 582-8899

The provider's authorized official is Linda M Picker .
The authorized official title is Owner and has the following contact phone number (541) 474-9400.

The enumeration date for this NPI number is 1/8/2009 and was last updated on 12/3/2009.

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	363LP2300X	Nurse Practitioner	Primary Care	200850056NP	OREGON	No
2	363LP2300X	Nurse Practitioner	Primary Care	NP200250078	OREGON	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	1174571186	OTHER	OREGON	NPI
2	1427028224	OTHER	OREGON	NPI
3	P66553	MEDICARE UPIN	OREGON
4	28614	MEDICARE UPIN	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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