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Organization

LOWER UMPQUA HOSPITAL DISTRICT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHNATHON CHIVERS (CEO)
(541) 271-6313
Entity
Organization

Contact information

Practice address
600 RANCH RD, REEDSPORT, OR 97467-1720
(541) 271-2171
(541) 271-2941
Mailing address
600 RANCH RD, REEDSPORT, OR 97467-1720
(541) 271-2171
(541) 271-6380

Taxonomy

Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
140639
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000054
OR
01
R0000ZGBKR
MEDICARE PART B PTAN
OR
Enumeration date
05/02/2006
Last updated
02/24/2026
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