| NPI | 1932435377 |
|---|---|
| Other Name | NEWPORT SBHC |
| Doing Business As | NEWPORT SCHOOL-BASED HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | LESA WAGNER Credentialing Specialist 541-265-0445 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 261QS1000X Clinic/Center, Student Health | |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2023-04-07 |