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Organization

LOWER UMPQUA HOSPITAL DISTRICT

Active
Other names
Dunes Family Health Care
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER GREEN (CEO)
(541) 271-6313
Entity
Organization

Contact information

Practice address
620 RANCH RD, REEDSPORT, OR 97467
(541) 271-2163
(541) 271-4058
Mailing address
600 RANCH RD, REEDSPORT, OR 97467-1720
(541) 271-2171
(541) 271-6380

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
261QR1300X
Rural Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
276263
OR
01
R0000ZGBKR
MEDICARE PART B PTAN
OR
Enumeration date
07/08/2006
Last updated
07/13/2026
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