OrganizationActive
Club Northwest
NPI 1356854830 · Multi-Specialty Clinic/Center · Grants Pass, OR
Provider details
- NPI number
- 1356854830
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Stacy Cappadona, Registered Dietitian(541) 955-2582
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
2160 Nw Vine St
Grants Pass, OR 97526-8439
Phone: (541) 955-2582
Approximate (ZIP-level) locationGet directions
Mailing address
2160 Nw Vine St
Grants Pass, OR 97526-8439
Registry dates
- Enumerated
- 2017-11-07
- Last updated
- 2017-11-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.