# JORDAN VALLEY HEALTH CLINIC, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093733248
- **Authorized official:** MARIE CLAYTON (OFFICE MANAGER)
- **Authorized official phone:** (541) 586-2422

## Contact information

- **Practice address:** 400 IOWA AVE., JORDAN VALLEY, OR 97910
- **Practice address phone:** (541) 586-2422
- **Practice address fax:** (541) 586-2419
- **Mailing address:** PO BOX 118, JORDAN VALLEY, OR 97910-0118
- **Mailing address phone:** (541) 586-2422
- **Mailing address fax:** (541) 586-2419

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AM0700X | Medical Physician Assistant | MD09143 | OR | Yes |

## Other

- **Enumeration date:** 07/17/2006
- **Last updated:** 02/13/2008