Organization
CONFEDERATED TRIBES OF SILETZ
Active
Other names
Siletz Community Health Clinic Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MIRANDA WILLIAMS (HEALTH DIRECTOR)
(541) 444-1030
Entity
Organization
Contact information
Practice address
200 GWEE SHUT RD, SILETZ, OR 97380-2036
(541) 444-1030
Mailing address
PO BOX 320, SILETZ, OR 97380-0320
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
RP-0002621-CS
OR
Other
Enumeration date
12/26/2017
Last updated
09/21/2022
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