OrganizationActive
Confederated Tribes of the Grand Ronde Community of Oregon
NPI 1174666358 · Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Grand Ronde, OR
Provider details
- NPI number
- 1174666358
- Entity type
- Organization
- Primary specialty
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Kelly Rowe, Executive Director Health Services(503) 879-2075
Specialties & taxonomies
Suppliers
- Optometrist152W00000X
Eye and Vision Services Providers
- General Practice Physician208D00000X
Allopathic & Osteopathic Physicians
- Community Health Clinic/Center261QC1500X
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Practice location
9605 Grand Ronde Rd
Grand Ronde, OR 97347-9712
Phone: (503) 879-2236
Fax: (503) 879-5089
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 338
Grand Ronde, OR 97347-0338
Other names (DBA / former)
- Other name
- Grand Ronde Health and Wellness Center
- Other name
- Great Circle Recovery
Additional practice locations (2)
- 3580 Se 82nd AvePortland, OR 97266-2902Phone: (971) 339-9240
- 1011 Commercial St Ne Ste 110Salem, OR 97301-1036Phone: (503) 983-9900Fax: (503) 983-9899
Registry dates
- Enumerated
- 2007-02-15
- Last updated
- 2024-02-28
- Certified
- 2024-02-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.