Organization Active NPI

White River Health District

Doing business as dba Deschutes Rim Health Clinic

  • Family Medicine Physician
  • Maupin, OR
National Provider Identifier
1841317237
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD17484 Issued in OR
Legal business name
WHITE RIVER HEALTH DISTRICT
Doing business as
dba Deschutes Rim Health Clinic
Practice address
1605 George Jackson Rd
Maupin, OR 97037-9208
Phone
(541) 395-2911
Fax
(541) 395-2912
NPI assigned
Mar 23, 2007
Last updated
Jul 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Authorized official

Name
Lindsay Roper
Title
Administrator
Phone
(541) 395-2911

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X NU
Medical Physician Assistant 363AM0700X PA00762 OR
Family Medicine Physician 207Q00000X MD17484 OR Primary

Addresses

Primary practice location

1605 George Jackson Rd
Maupin, OR 97037-9208

Mailing address

PO Box 219
Maupin, OR 97037-0219
Phone (541) 395-2911

Other identifiers 1

IdentifierTypeStateIssuer
006335MedicaidOR

Other names 1

  • dba Deschutes Rim Health Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070806000000 OR Part B Supplier - Clinic/Group Practice 0244321305 Receives reassigned benefits from 7 practitioners
Practice locations: Maupin, OR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D1068275Deschutes Rim Health Clinic1605 George Jackson Rd, Maupin, OR 97037Certificate of waiverAug 14, 2026

National Provider Directory

National Provider Directory
Part of
White River Health District

Locations

1605 George Jackson Rd
Maupin, OR 97037
Phone (541) 395-2636

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783296000000",
    "number": "1841317237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 219",
            "city": "MAUPIN",
            "state": "OR",
            "postal_code": "970370219",
            "telephone_number": "541-395-2911",
            "fax_number": "541-395-2912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 GEORGE JACKSON RD",
            "city": "MAUPIN",
            "state": "OR",
            "postal_code": "970379208",
            "telephone_number": "541-395-2911",
            "fax_number": "541-395-2912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE RIVER HEALTH DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A",
        "authorized_official_last_name": "ROPER",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "541-395-2911"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": "PA00762",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD17484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006335",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba Deschutes Rim Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maupin, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.