NPIMap

Confederated Tribes of Grand Ronde Community of Oregon Dba GR Health &

Organization Active NPI Community Health Clinic/Center · Grand Ronde, OR

NPI 1104164359 · NPPES record last updated May 8, 2026

Key facts

NPI
1104164359
Entity type
Organization (NPI type 2)
Primary specialty
Community Health Clinic/Center 261QC1500X
License
201070009CNS (OR)
Legal business name
CONFEDERATED TRIBES OF GRAND RONDE COMMUNITY OF OREGON DBA GR HEALTH &
Practice address
9605 Grand Ronde Rd
Grand Ronde, OR 97347-9712
Phone
(503) 879-2236
NPI assigned
Jan 23, 2013
Organization subpart
Yes
Parent organization (as reported)
CONFEDERATED TRIBES OF GRAND RONDE COMMUNITY OF OREGON

Authorized official

Name
Tauni McCammon
Title
Quality Coordinator
Phone
(503) 879-2060

Corporate family (same tax ID) 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 34

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 34

National Provider Directory

Tax ID family
Confederated Tribes of Grand Ronde Community of Oregon Dba GR Health (6 organizations share this tax ID)
Part of
Confederated Tribes of Grand Ronde Community of Oregon Dba GR Health

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X 201070009CNS OR Yes

Addresses

Primary practice location

9605 Grand Ronde Rd
Grand Ronde, OR 97347-9712

Mailing address

PO Box 338
Grand Ronde, OR 97347-0338
Phone (503) 879-2239

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 8, 2026.

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778198400000",
    "number": "1104164359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 338",
            "city": "GRAND RONDE",
            "state": "OR",
            "postal_code": "973470338",
            "telephone_number": "503-879-2239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9605 GRAND RONDE RD",
            "city": "GRAND RONDE",
            "state": "OR",
            "postal_code": "973479712",
            "telephone_number": "503-879-2236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONFEDERATED TRIBES OF GRAND RONDE COMMUNITY OF OREGON DBA GR HEALTH &",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CONFEDERATED TRIBES OF GRAND RONDE COMMUNITY OF OREGON",
        "enumeration_date": "2013-01-23",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A",
        "authorized_official_last_name": "MCCAMMON",
        "authorized_official_first_name": "TAUNI",
        "authorized_official_title_or_position": "QUALITY COORDINATOR",
        "authorized_official_telephone_number": "503-879-2060"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "OR",
            "license": "201070009CNS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Ronde, OR

All providers in Grand Ronde, OR · Community Health Clinic/Center in Oregon

Sources for this page

Verify at the official NPI Registry.