| Yakima Valley Farm Workers Clinic | |
|
1475 Mount Hood Ave Woodburn OR 97071-9066 | |
| (503) 981-1217 | |
| (503) 981-1509 |
| Full Name | Yakima Valley Farm Workers Clinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1475 Mount Hood Ave, Woodburn, Oregon |
| Authorized Official Name and Position | Juan Carlos Olivares (CHIEF EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5098656175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yakima Valley Farm Workers Clinic Po Box 190 Toppenish WA 98948-0190 Ph: (509) 865-6175 | Yakima Valley Farm Workers Clinic 1475 Mount Hood Ave Woodburn OR 97071-9066 Ph: (503) 981-1217 |
| NPI Number | 1689046674 |
|---|---|
| Provider Enumeration Date | 10/29/2015 |
| Last Update Date | 07/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689046674 | NPI | - | NPPES |
| 022793 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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