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VERA WHOLE HEALTH WA PC NPI 1881102077


NPI Information

NPI: 1881102077
Provider Name: VERA WHOLE HEALTH WA PC

Doing Business As: AMY'S FAMILY HEALTH CENTER

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 38D2145806

Address:
393 W ANTELOPE RD
WHITE CITY, OR
ZIP 97503
Phone: (541) 600-4610
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VERA WHOLE HEALTH WA PC is a primary care clinic center in White City, OR. VERA WHOLE HEALTH WA PC NPI is 1881102077. The provider is registered as an organization entity type.
The provider Is Doing Business As Amy's Family Health Center.

The provider's business location address is:

393 W ANTELOPE RD
WHITE CITY, OR
ZIP 97503-027
Phone: (541) 600-4610
Fax: (541) 550-2285

The provider's authorized official is Melissa Hirschfelder .
The authorized official title is Licensing Analyst and has the following contact phone number (206) 395-7870.

The CLIA number assigned to this NPI record is 38D2145806 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/22/2018 and was last updated on 12/23/2021.


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
1261QP2300XClinic/CenterPrimary Care01714514-4OREGONYes

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

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