Canyon Creek Clinic
NPI 1356952048 · Primary Care Clinic/Center · John Day, OR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Canyon Creek Clinic is a Primary Care Clinic/Center organization in John Day, OR (NPI 1356952048).
Provider details
- NPI number
- 1356952048
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Shawna Clark, President(541) 575-1263
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
Mailing address
Registry dates
- Enumerated
- 2020-08-14
- Last updated
- 2021-06-22
- Certified
- 2021-06-22
Frequently asked questions
- What is Canyon Creek Clinic's NPI number?
- Canyon Creek Clinic's National Provider Identifier (NPI) is 1356952048, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Canyon Creek Clinic?
- Canyon Creek Clinic is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Canyon Creek Clinic located?
- Canyon Creek Clinic's practice location on file with NPPES is 235 S Canyon Blvd, John Day, OR 97845-1044.
- What is Canyon Creek Clinic's phone number?
- The practice phone number listed in the NPPES registry for Canyon Creek Clinic is (541) 575-1263.
- Does Canyon Creek Clinic accept Medicare?
- Canyon Creek Clinic is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Canyon Creek Clinic?
- The authorized official listed on Canyon Creek Clinic's NPPES record is Shawna Clark, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Canyon Creek Clinic's NPI active?
- Yes — Canyon Creek Clinic's NPI (1356952048) is active in the NPPES registry as of the last update on 2021-06-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.