CANYON CREEK CLINIC (NPI# 1356952048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356952048 |
| Entity Type | Organization |
| Organization Name | CANYON CREEK CLINIC |
| Practice Address |
235 S Canyon Blvd John Day OR 97845-1044 |
| Practice Telephone | 5416204589 |
| Mailing Telephone | 5416204589 |
| Enumeration Date | 2020-08-14 |
| Last Update Date | 2020-10-14 |
| Authorized Official Name | SHAWNA CLARK (PRESIDENT) |
| Authorized Official Telephone | 5416204589 |
| Authorized Official Credential | FNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | CANYON CREEK CLINIC | 235 S Canyon Blvd, John Day, OR 97845 |
| Street Address |
235 S CANYON BLVD |
| City | JOHN DAY |
| State | OR |
| Zip Code | 97845-1044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962798793 | Shawna A Clark | Nurse Practitioner | 235 S Canyon Blvd, John Day, OR 97845-1044 | 2011-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174163356 | Erika Nichole Adams | Nurse Practitioner | 180 Ford Rd., John Day, OR 97845 | 2020-01-15 |
| 1427526433 | Steven Duane Baldwin | Counselor | 60483 Highway 26, John Day, OR 97845 | 2018-11-07 |
| 1720323835 | Community Counseling Solutions | Respite Care | 194 Ford Road, John Day, OR 97845 | 2012-11-29 |
| 1669786174 | Emily A Lieuallen | Family Medicine | Strawberry Wilderness Clinic, 180 Ford Rd., John Day, OR 97845 | 2010-07-27 |
| 1790945707 | Joe Nelson Boyer | Counselor | 528 E Main Suite W, John Day, OR 97845 | 2008-06-12 |
| 1326231440 | Patricia Lynn Wright | Case Manager/Care Coordinator | 528 E Main, Suite W, John Day, OR 97845 | 2007-08-22 |
| 1417092271 | Virginia L Mcmillian | Dentist | 150 Ogilvie Dr, John Day, OR 97845 | 2007-02-20 |
| 1144329863 | Grant County Center for Human Development | Counselor | 528 East Main St, Suite W, John Day, OR 97845 | 2006-09-21 |
| 1992812754 | Sarah Russ | Physical Therapist | 170 Ford Rd, John Day, OR 97845 | 2006-08-25 |
| 1871596841 | Bennette Edward Norton IIi | Family Medicine | 180 Ford Road, John Day, OR 97845 | 2005-05-24 |
| Find all providers in zip 97845 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376158774 | G&h Healthcare Inc | Clinic/Center | 17022 Sw Pacific Hwy Apt 210, Tigard, OR 97224-3400 | 2020-09-11 |
| 1750906509 | Alpha Care Family Medicine | Clinic/Center | 14455 Sw Allen Blvd Ste 100, Beaverton, OR 97005-4428 | 2020-06-08 |
| 1104447895 | Beyond Health LLC | Clinic/Center | 6440 Nw Mcmullen Ave, Portland, OR 97229-1158 | 2020-05-04 |
| 1851942536 | Careatc | Clinic/Center | 1101 W Main St Ste 103, Medford, OR 97501-2966 | 2019-09-24 |
| 1871153585 | Full Bloom Natural Medicine, LLC | Clinic/Center | 922 Nw Circle Blvd Ste 180, Corvallis, OR 97330-1483 | 2019-06-14 |
| 1831757475 | Structural Solutions Chiropractic | Clinic/Center | 121 Nw Everett St, Portland, OR 97209-4049 | 2019-05-29 |
| 1770147357 | Uptown Providers PC | Clinic/Center | 397 Warner Milne Rd, Oregon City, OR 97045-4045 | 2019-04-29 |
| 1720549058 | Barbara Gilbertson, Do, Inc. | Clinic/Center | 1803b Main St, Klamath Falls, OR 97601-2636 | 2019-03-28 |
| 1033674841 | Jeremy Mikolai Nd Inc | Clinic/Center | 2540 Ne M L King Blvd, Portland, OR 97212-3732 | 2019-02-06 |
| 1326531666 | Working Class Medicine LLC | Clinic/Center | 2133 N. Willis Blvd, Studio D, Portland, OR 97217 | 2018-06-12 |
| Find all providers with the same taxonomy | ||||
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| 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.