| NPI | 1417529611 |
|---|---|
| Other Name | ROGUE COMMUNITY HEALTH DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | CALISA WARNKE CFO 541-842-7642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-07-15 |
| Last Update Date | 2021-07-16 |