Olive Branch Family Health Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

OLIVE BRANCH FAMILY HEALTH INC

Practice address

306 W North Street
Enterprise, OR 97828

Phone

(541) 426-7171

Fax

(541) 426-7176

NPI assigned

Oct 24, 2010

Organization subpart

No

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

Authorized official

Name

Polly Devore

Title

Manager

Phone

(541) 398-2331

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2661/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1287878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288310400000",
    "number": "1245530344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX B",
            "city": "ENTERPRISE",
            "state": "OR",
            "postal_code": "978280167",
            "telephone_number": "541-398-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W NORTH STREET",
            "city": "ENTERPRISE",
            "state": "OR",
            "postal_code": "97828",
            "telephone_number": "541-426-7171",
            "fax_number": "541-426-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE BRANCH FAMILY HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-24",
        "last_updated": "2010-10-29",
        "status": "A",
        "authorized_official_last_name": "DEVORE",
        "authorized_official_first_name": "POLLY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "541-398-2331"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Jane Nall
• Danielle Rose Nash
• Grace Claire Neuber
• Mary Rose Nichols, LCSW, CADCIII
• Christian Niece
• Sheila Orr
• Eva Oveson, QMHA
• Kelsey Anne Owens
• Ida Catherine Pacheco, PHD
• Montana Pagano

• General Practice Physician in Enterprise, OR
• Providers in Enterprise, OR by specialty
• General Practice Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2010; 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.