Organization
COW CREEK BAND OF UMPQUA TRIBE OF INDIANS
Active
Other names
COW CREEK HEALTH & WELLNESS CTR
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON A STANPHILL (CHIEF HEALTH OFFICER)
(541) 672-8533
Entity
Organization
Contact information
Practice address
2589 NW EDENBOWER BLVD, ROSEBURG, OR 97471-6220
(541) 672-8533
(855) 670-1791
Mailing address
2371 NE STEPHENS ST STE 200, ROSEBURG, OR 97470-1399
(541) 672-8533
(541) 677-9870
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500745176
—
OR
Enumeration date
10/13/2006
Last updated
03/13/2025
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