OrganizationActive
Winding Waters Medical Clinic
NPI 1114631322 · Community/Retail Pharmacy · Wallowa, OR
Winding Waters Medical Clinic is a Community/Retail Pharmacy organization in Wallowa, OR (NPI 1114631322).
Provider details
- NPI number
- 1114631322
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Parent organization
- Winding Waters Medical Clinic
- Organization subpart
- Yes
- Authorized official
- Keli Dennis, Authorized Official(541) 426-4502
Specialties & taxonomies
Suppliers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
605 W Hwy 82
Wallowa, OR 97885-7114
Phone: (541) 426-4502
Street-level locationGet directions
Mailing address
603 Medical Pkwy
Enterprise, OR 97828-5124
Other names (DBA / former)
- Other name
- Wallowa Pharmacy of Winding Waters
- Other name
- Wallowa Pharmacy of Winding Waters
Registry dates
- Enumerated
- 2023-01-11
- Last updated
- 2023-09-13
- Certified
- 2023-09-12
Frequently asked questions
- What is Winding Waters Medical Clinic's NPI number?
- Winding Waters Medical Clinic's National Provider Identifier (NPI) is 1114631322, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Winding Waters Medical Clinic?
- Winding Waters Medical Clinic is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Winding Waters Medical Clinic located?
- Winding Waters Medical Clinic's practice location on file with NPPES is 605 W Hwy 82, Wallowa, OR 97885-7114.
- What is Winding Waters Medical Clinic's phone number?
- The practice phone number listed in the NPPES registry for Winding Waters Medical Clinic is (541) 426-4502.
- Who is the authorized official for Winding Waters Medical Clinic?
- The authorized official listed on Winding Waters Medical Clinic's NPPES record is Keli Dennis, Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Winding Waters Medical Clinic's NPI active?
- Yes — Winding Waters Medical Clinic's NPI (1114631322) is active in the NPPES registry as of the last update on 2023-09-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.