| NPI | 1417372731 |
|---|---|
| Doing Business As | BIRCH GROVE HEALTH CENTER- LA CLINICA |
| Entity Type | Organization |
| Authorized Contact | TARA LYNETTE JEANNOT Chief Operations Officer 541-535-6239 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2019-07-15 |