Organization
JORDAN VALLEY HEALTH CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE CLAYTON (OFFICE MANAGER)
(541) 586-2422
Entity
Organization
Contact information
Practice address
400 IOWA AVE., JORDAN VALLEY, OR 97910
(541) 586-2422
(541) 586-2419
Mailing address
PO BOX 118, JORDAN VALLEY, OR 97910-0118
(541) 586-2422
(541) 586-2419
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MD09143
OR
Other
Enumeration date
07/17/2006
Last updated
02/13/2008
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