Organization
WINDING WATERS MEDICAL CLINIC
Active
Parent organization
WINDING WATERS MEDICAL CLINIC
Other names
Winding Waters Wallowa
Organization subpart
Yes
Provider details
NPI number
Legal business name
WINDING WATERS MEDICAL CLINIC
Authorized official
KELI JEAN DENNIS (COO)
(541) 426-4502
Entity
Organization
Contact information
Practice address
605 W HWY 82, WALLOWA, OR 97885-8544
(541) 426-4502
Mailing address
603 MEDICAL PKWY, ENTERPRISE, OR 97828-5124
(541) 426-4502
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
06/10/2021
Last updated
09/14/2023
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