Safe Harbor Pediatrics Rural Clinic

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

SAFE HARBOR PEDIATRICS RURAL CLINIC

Practice address

429 SE Marlin Ave
Warrenton, OR 97146-9649

Phone

(503) 861-7777

Fax

(503) 861-7771

NPI assigned

Jul 1, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Barbara Jane Wallner, R.N., M.S.N., F.N.P.

Title

Family Nurse Practitioner

Phone

(503) 861-7777

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023015278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 SE MARLIN AVE",
            "city": "WARRENTON",
            "state": "OR",
            "postal_code": "971469649",
            "telephone_number": "503-861-7777",
            "fax_number": "503-861-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 SE MARLIN AVE",
            "city": "WARRENTON",
            "state": "OR",
            "postal_code": "971469649",
            "telephone_number": "503-861-7777",
            "fax_number": "503-861-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HARBOR PEDIATRICS RURAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALLNER",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "503-861-7777",
        "authorized_official_credential": "R.N., M.S.N., F.N.P."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darby Mae Rochette, NURSING ASSISTANT R
• Reba Rodriguez
• Rooted Therapy & Consultation, LLC
• Raul Rubio
• Mireille Katniess Rygnestad, PHARMD
• Scott Thomas Sammler, HS
• Maria Schafer, LMHC, LPC, CADC III
• Kayla Schulz
• Alexandra Justine Scott
• Adam Shreve, RPH

• Rural Health Clinic/Center in Warrenton, OR
• Providers in Warrenton, OR by specialty
• Rural Health Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.