CONFEDERATED TRIBES OF GRAND RONDE COMMUNITY OF OREGON


Address: 9615 Grand Ronde Rd, Grand Ronde, OR 97347-9712
Phone: 5038792060

CONFEDERATED TRIBES OF GRAND RONDE COMMUNITY OF OREGON (NPI# 1326513367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326513367
Entity Type Organization
Organization Name CONFEDERATED TRIBES OF GRAND RONDE COMMUNITY OF OREGON
Practice Address 9615 Grand Ronde Rd
Grand Ronde
OR 97347-9712
Practice Telephone 5038792060
Practice Fax Number 5038795089
Mailing Telephone 5038792060
Mailing Fax Number 5038795089
Enumeration Date 2018-10-05
Last Update Date 2018-10-05
Authorized Official Name DANA MORFIN (QUALITY ANALYST)
Authorized Official Telephone 5038792060
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2085B0100X Radiology
Specialization: Body Imaging
Allopathic & Osteopathic Physicians
Y 291U00000X Clinical Medical Laboratory Laboratories

Other Provider Identifier

State Issuer Identifier Type Code
OR 126883 05

Other Provider/Organization Names

Other Name Type Code
Grand Ronde Health & Wellness Center Lab Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1174666358 Confederated Tribes of Grand Ronde Community of Oregon Nurse Practitioner 9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 2007-02-15

Office Location

Street Address 9615 GRAND RONDE RD
City GRAND RONDE
State OR
Zip Code 97347-9712

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689700213 Angela R Vargas Counselor 9615 Grand Ronde Rd, Grand Ronde, OR 97347-9712 2007-02-26
1922554542 Terri Knowles Optometrist 9615 Grand Ronde Rd, Grand Ronde, OR 97347-9712 2016-09-01
1093073439 Nicole Marie Estrada Counselor 9615 Grand Ronde Rd, Grand Ronde, OR 97347-9712 2012-04-23
1881970069 Sarah J Ross Speech-Language Pathologist 9615 Grand Ronde Rd, Grand Ronde, OR 97347-9712 2011-11-01
1073709499 Erin Margaret Lange Dentist 9615 Grand Ronde Rd, Grand Ronde, OR 97347-9712 2007-09-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023325859 Linda 'lynn' Michelle House Licensed Practical Nurse 7650 Birch Street, Grand Ronde, OR 97347-0024 2010-08-31
1932180734 Lance Gregory Loberg Family Medicine 9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 2005-11-08
1003286840 Albert Martineau Counselor 9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 2015-10-06
1417390634 Andrew R Canning Student in an Organized Health Care Education/Training Program 9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 2013-04-08
1104164359 Confederated Tribes of Grand Ronde Community of Oregon Dba Gr Health & Clinic/Center 9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 2013-01-23
1508111931 Capitol Physical Therapy, Inc Physical Therapist 9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 2012-07-23
1477845352 Jeanette Marie Kaschmitter Counselor 9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 2011-05-10
1366765687 George Ryan Davis Dentist 9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 2010-03-02
1467692350 Ashley Rose Nunley Chiropractor 9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 2009-03-05
1477711802 Confederated Tribes of The Grand Ronde Community of Oregon Pharmacy 9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 2008-06-02
Find all providers in zip 97347

Taxonomy Information

Taxonomy Code 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy Definition

(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1649881483 True Diagnostics Clinical Medical Laboratory 1122 Ne 122nd Ave Ste B-102, Portland, OR 97230-2081 2020-08-14
1497363543 Laboratory Corporation of America Clinical Medical Laboratory 4212 Ne Broadway Rm L100, Portland, OR 97213-1422 2020-07-15
1245881721 Laboratory Corporation of America Clinical Medical Laboratory 3896 Beverly Ave Ne Bldg J Ste 40, Salem, OR 97305-1374 2019-09-25
1215594270 Emerald National Laboratory LLC Clinical Medical Laboratory 1710 Willow Creek Cir Ste 174, Eugene, OR 97402-9192 2019-05-24
1568927903 Alerra, LLC Clinical Medical Laboratory 618 Nw 12th Ave Apt 412, Portland, OR 97209-3031 2019-02-08
1831664515 A Worksafe Service, Inc. Clinical Medical Laboratory 1696 Capitol St Ne, Salem, OR 97301-7855 2018-10-09
1568980555 Quest Diagnostics Clinical Laboratories Inc Clinical Medical Laboratory 217 Division Ave Ste A, Eugene, OR 97404-5429 2017-08-30
1861937237 Malachai Investments LLC Clinical Medical Laboratory 10,000 Se Main St, Ste 360, Portland, OR 97216 2016-12-21
1255703245 Guidant Toxicology LLC Clinical Medical Laboratory 3329 Wintercreek Ct, Eugene, OR 97405-6238 2015-10-29
1275905473 Precision Laboratories LLC Clinical Medical Laboratory 1720 Willow Creek Cir, Suite 525 B, Eugene, OR 97402-9171 2015-10-27
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Competitor

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City GRAND RONDE
Zip Code 97347

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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