Organization
WHITE RIVER HEALTH DISTRICT
Active
Parent organization
WHITE RIVER HEALTH DISTRICT
Other names
dba Deschutes Rim Health Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
WHITE RIVER HEALTH DISTRICT
Authorized official
SHARON D. DEHART PA-C (DISTRICT MANAGER)
(541) 395-2911
Entity
Organization
Contact information
Practice address
1605 GEORGE JACKSON RD, MAUPIN, OR 97037-9208
(541) 395-2911
(541) 395-2912
Mailing address
PO BOX 219, MAUPIN, OR 97037-0219
(541) 395-2911
(541) 395-2912
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD17484
OR
261QC1500X
Community Health Clinic/Center
—
—
363AM0700X
Medical Physician Assistant
PA00762
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006335
—
OR
Enumeration date
03/23/2007
Last updated
03/16/2016
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