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Organization

COLUMBIA RIVER HEALTH-PENDLETON HIGH SCHOOL SBHC

Active
Parent organization
COLUMBIA RIVER HEALTH
Organization subpart
Yes

Provider details

NPI number
Legal business name
COLUMBIA RIVER HEALTH
Authorized official
SANJUANITA CANTU (BILLING/CREDENTIALING SERVICES MGR)
(541) 481-7212
Entity
Organization

Contact information

Practice address
1800 NW CARDEN AVE, PENDLETON, OR 97801-1185
(541) 966-3857
Mailing address
PO BOX 397, BOARDMAN, OR 97818-0397
(541) 481-7212
(541) 481-5400

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
276286
OR
Enumeration date
09/04/2018
Last updated
09/04/2018
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