| NPI | 1114651171 |
|---|---|
| Other Name | LA CLINICA SCHOOL-BASED HEALTH CENTER AT ROGUE PRIMARY SCHOOL |
| Entity Type | Organization |
| Authorized Contact | TRACI FOSSEN Chief Quality Officer 541-512-3912 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-07-14 |
| Last Update Date | 2022-07-14 |