Organization
WINDING WATERS MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELI JEAN CHRISTMAN (COO)
(541) 426-4502
Entity
Organization
Contact information
Practice address
507 S RIVER ST, ENTERPRISE, OR 97828-1601
(541) 426-4502
(541) 426-6403
Mailing address
603 MEDICAL PKWY, ENTERPRISE, OR 97828-5124
(541) 426-4502
(541) 426-6403
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
06/27/2016
Last updated
10/13/2017
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