| NPI | 1760727135 |
|---|---|
| Doing Business As | LA CLINICA SCHOOL-BASED HEALTH CENTER AT JEWETT ELEMENTARY SCHOOL |
| 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 | 2012-12-11 |
| Last Update Date | 2019-07-15 |