| NPI | 1174666358 |
|---|---|
| Other Name | GRAND RONDE HEALTH AND WELLNESS CENTER |
| Other Name | GREAT CIRCLE RECOVERY |
| Entity Type | Organization |
| Authorized Contact | KELLY D ROWE Executive Director Health Services 503-879-2075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| Additional Taxonomies | 152W00000X Optometrist |
| 208D00000X General Practice | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: OR 126883) | |
| 261QR0200X Clinic/Center, Radiology (Licence: OR 445142) | |
| 291U00000X Clinical Medical Laboratory (Licence: OR 38D0862855) | |
| 101Y00000X Counselor | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 111N00000X Chiropractor | |
| 1223G0001X Dentist, General Practice | |
| 333600000X Pharmacy (Licence: OR 1559) | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2024-02-28 |