Organization
CHEMAWA INDIAN HEALTH CENTER DHHS IHS WESTERN OREGON SERV UNIT
Active
Other names
Chemawa Indian Health Center Western Oregon Service Unit
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADAM THOMAS BIRDINGROUND (CHIEF EXECUTIVE OFFICER)
(503) 304-7642
Entity
Organization
Contact information
Practice address
3750 CHEMAWA RD NE, CHEMAWA INDIAN HEALTH CENTER WESTERN OREGON SERVICE UNI, SALEM, OR 97305-1119
(503) 304-7600
(503) 304-7678
Mailing address
3750 CHEMAWA RD NE, SALEM, OR 97305-1119
(503) 304-7600
(503) 304-7678
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
AP8985218
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270030
—
OR
Enumeration date
12/21/2006
Last updated
08/22/2020
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