Organization
OREGON DEPARTMENT OF CORRECTIONS
Active
Parent organization
OREGON DEPARTMENT OF CORRECTIONS
Other names
Powder River Correctional Facility
Organization subpart
Yes
Provider details
NPI number
Legal business name
OREGON DEPARTMENT OF CORRECTIONS
Authorized official
ROB CORY NUTT (CHIEF PHARMACY OFFICER)
(503) 986-6967
Entity
Organization
Contact information
Practice address
3600 13TH ST, BAKER CITY, OR 97814
(503) 428-9443
Mailing address
2757 22ND ST SE, SALEM, OR 97302
Taxonomy
Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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