Organization
CLATSKANIE FAMILY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY ALLEN DAVIS (ADMINISTRATOR)
(503) 728-0424
Entity
Organization
Contact information
Practice address
401 SW BEL AIR, CLATSKANIE, OR 97016-0927
(503) 728-0424
(503) 728-1297
Mailing address
PO BOX 927, 401 SW BEL AIR, CLATSKANIE, OR 97016-0927
(503) 728-0424
(503) 728-1297
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0713
OR
363LF0000X
Family Nurse Practitioner
—
OR
363LP0200X
Pediatric Nurse Practitioner
000038358N2
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277982
—
OR
Enumeration date
05/10/2007
Last updated
09/11/2025
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