Organization
WALLOWA VALLEY CENTER FOR WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN HOPKINS (HUMAN RESOURCES)
(541) 426-4524
Entity
Organization
Contact information
Practice address
606 MEDICAL PKWY, ENTERPRISE, OR 97828-5140
(541) 426-4524
Mailing address
PO BOX 268, ENTERPRISE, OR 97828-0268
(541) 426-4524
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210511
—
OR
05
—
213546
—
OR
Enumeration date
08/30/2016
Last updated
11/03/2024
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