Winding Waters Medical Clinic
Organization Active NPI Federally Qualified Health Center (FQHC) · Enterprise, OR
NPI 1679924112 · NPPES record last updated Oct 13, 2017
Key facts
- NPI
- 1679924112
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- WINDING WATERS MEDICAL CLINIC
- Practice address
- 507 S River St
Enterprise, OR 97828-1601 - Phone
- (541) 426-4502
- Fax
- (541) 426-6403
- NPI assigned
- Jun 27, 2016
- Organization subpart
- No
Authorized official
- Name
- Keli Jean Christman
- Title
- Coo
- Phone
- (541) 426-4502
Practitioners 6
-
Tai Marie Jaques, LMT
-
Rachael Karlin, ND
-
Landra Kaia Skovlin, LMT
-
Bonnie Leigh Wickwire, D.C. / N.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
507 S River St
Enterprise, OR 97828-1601
Mailing address
603 Medical Pkwy
Enterprise, OR 97828-5124
Phone (541) 426-4502
Other providers in Enterprise, OR
- Winding Waters Clinic PC
- Winding Waters Medical Clinic
- Winding Waters Medical Clinic
- Winding Waters Medical Clinic
- Winding Waters Medical Clinic
- Winding Waters Medical Clinic
- Winding Waters Medical Clinic
- Brook Adale Witty
- Lawrence Leonard Woods
- Deborah Woody
All providers in Enterprise, OR · Federally Qualified Health Center (FQHC) in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.