THE CONFEDERATED TRIBES OF WARM SPRINGS RESERVATION OF OREGON (NPI# 1902110968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902110968 |
| Entity Type | Organization |
| Organization Name | THE CONFEDERATED TRIBES OF WARM SPRINGS RESERVATION OF OREGON |
| Practice Address |
1270 Kot-num Rd Warm Springs OR 97761 |
| Mailing Address |
Po Box 1209 1270 Kot-num Road Warm Springs OR 97761-1209 |
| Practice Telephone | 5415531196 |
| Practice Fax Number | 5415531347 |
| Mailing Telephone | 5415532496 |
| Mailing Fax Number | 5415531347 |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2020-08-04 |
| Authorized Official Name | MR. MICHELE STACONA (SECRETARY/TREASURER-CEO) |
| Authorized Official Telephone | 5415533232 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251K00000X | Public Health or Welfare | Agencies | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 261QP0905X |
Clinic/Center Specialization: Public Health, State or Local |
Ambulatory Health Care Facilities | ||
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
1270 KOT-NUM RD |
| City | WARM SPRINGS |
| State | OR |
| Zip Code | 97761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144229154 | Frank Charles Hoffman | Emergency Medicine | 1270 Kot-num Rd, Warm Springs, OR 97761 | 2005-07-20 |
| 1184239956 | Brian Daniel Wojahn | Dentist | 1270 Kot-num Rd, Warm Springs, OR 97761 | 2020-09-09 |
| 1639789266 | Kasem Darwish El-hajji | Pharmacist | 1270 Kot-num Rd, Warm Springs, OR 97761 | 2020-08-07 |
| 1265886881 | Jessica Hall | Registered Nurse | 1270 Kot-num Rd, Warm Springs, OR 96641 | 2016-04-20 |
| 1780047563 | Lisa Majewski | Registered Nurse | 1270 Kot-num Rd, Warm Springs, OR 97761-1209 | 2016-03-30 |
| 1417315607 | Francisco Silva IIi | Pharmacist | 1270 Kot-num Rd, Warm Springs, OR 97761 | 2016-02-03 |
| 1104073568 | Cheryl Lynn Sixkiller | Dentist | 1270 Kot-num Rd, Warm Springs, OR 97761-1209 | 2008-08-27 |
| 1366699985 | Diana Jaye Wambaugh | Nurse Practitioner | 1270 Kot-num Rd, Warm Springs, OR 97761-1209 | 2008-08-26 |
| 1376672352 | Warm Springs Health and Wellness Center Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1270 Kot-num Rd, Warm Springs, OR 97761 | 2007-03-05 |
| 1780747592 | Constance Jean Street | Registered Nurse | 1270 Kot-num Rd, Warm Springs, OR 97761 | 2006-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891850749 | Frank A Mendoza | Dentist | Warm Springs Indian Health Service Dental Clinic, 1270 Kot-num Road, Warm Springs, OR 97761 | 2006-12-22 |
| 1477596112 | Eric Bradford | Physical Therapist | 1270 Kotnum Rd., Warm Springs, OR 97761 | 2006-06-13 |
| 1629033527 | Lynette R Dziuk | Optometrist | 1270 Kot Num Rd, Warm Springs, OR 97761 | 2006-04-20 |
| 1982690954 | Hai Tuan Tran | Podiatrist | 1270 Kot-num, Warm Springs, OR 97761 | 2005-09-23 |
| 1154320240 | James C Gemelas | Pharmacist | 1270 Kotnum Rd, Warm Springs, OR 97761 | 2005-07-20 |
| 1508863317 | Mitzie Althea Allen | Pharmacist | 1270 Kotnum Road, Warm Springs, OR 97761 | 2005-07-07 |
| 1952303273 | Stephen Miles Rudd | Family Medicine | 1270 Kot-num Rd., Warm Springs, OR 97761 | 2005-06-01 |
| 1740829563 | Kathleen Boxx | Dietitian, Registered | 1270 Kot-num Rd., Warm Springs, OR 97761 | 2019-12-26 |
| 1376199398 | The Confederated Tribes of The Warm Springs Reservation of Oregon | Physical Therapist | 2124 Warm Springs St., Warm Springs, OR 97761 | 2019-08-15 |
| 1629623442 | Marilee Nizhoni Chapman | Pharmacist | 1270 Kot-num Road, Warm Springs, OR 97761 | 2019-08-08 |
| Find all providers in zip 97761 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700027927 | The Confederated Tribes of The Warm Springs Reservation of Oregon | Clinic/Center | 1115 Wasco Street, Warm Springs, OR 97761-3001 | 2009-03-18 |
| 1598016792 | Warm Springs Health and Wellness Center | Clinic/Center | 1270 Kot-num Road, Warm Springs, OR 97761-1209 | 2012-09-27 |
| 1417084708 | Warm Springs Health and Wellness Dhhs Ihs Warm Springs Service Unit | Clinic/Center | 1270 Kot Num Rd, Warm Springs, OR 97761 | 2007-02-27 |
| 1598828303 | Cathy Marie French | Clinic/Center | 1270 Kot-num Road, Warm Springs, OR 97761 | 2006-12-19 |
| 1285630335 | Warm Springs Health and Wellness Center | Clinic/Center | 1270 Kot-num Road, Warm Springs, OR 97761 | 2005-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932715935 | J.w. Smith, D.c., LLC | Clinic/Center | 4747 S 6th St Ste 2, Klamath Falls, OR 97603-4993 | 2020-09-16 |
| 1427662204 | Edmund H. Torkelson Do, PC | Clinic/Center | 1960 Nw 167th Pl Ste 204, Beaverton, OR 97006-4804 | 2020-08-31 |
| 1134746589 | Redmond Veterinary Clinic PC | Clinic/Center | 1785 Nw 6th St, Redmond, OR 97756-1204 | 2020-07-01 |
| 1801413240 | Gfm LLC | Clinic/Center | 1235 Se Division St Ste 114, Portland, OR 97202-1042 | 2020-07-01 |
| 1184240277 | Evans & Company Healthcare PC | Clinic/Center | 2330 Morada Ln, Ashland, OR 97520-3641 | 2020-06-24 |
| 1427674324 | Northwest Pain Institute | Clinic/Center | 2005 Cedar St, Forest Grove, OR 97116-1701 | 2020-06-17 |
| 1275168759 | Metatron Health LLC | Clinic/Center | 6464 Sw Borland Rd Ste C3, Tualatin, OR 97062-8856 | 2020-03-05 |
| 1427680057 | Ortc, LLC | Clinic/Center | 750 Biddle Rd Ste 102, Medford, OR 97504-6178 | 2020-02-11 |
| 1134750037 | Legacy Good Samaritan Hospital and Medical Center | Clinic/Center | 1040 Nw 22nd Ave Ste 250, Portland, OR 97210-3057 | 2020-01-29 |
| 1861038382 | Clackamas County | Clinic/Center | 2051 Kaen Rd Ste 210, Oregon City, OR 97045-4035 | 2019-11-19 |
| Find all providers with the same taxonomy | ||||
| City | WARM SPRINGS |
| Zip Code | 97761 |
Please comment or provide details below to improve the information on THE CONFEDERATED TRIBES OF WARM SPRINGS RESERVATION OF OREGON.
| 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.