OrganizationActive
La Clinica Del Valle Family Healthcare Center Inc.
NPI 1770196016 · Federally Qualified Health Center (FQHC) · Phoenix, OR
Provider details
- NPI number
- 1770196016
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Parent organization
- La Clinica Del Valle Family Healthcare Center Inc.
- Organization subpart
- Yes
- Authorized official
- Traci Fossen, Chief Quality Officer(541) 512-3912
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
302 W First Street
Phoenix, OR 97535
Phone: (541) 897-5011
Fax: (541) 897-5163
Approximate (ZIP-level) locationGet directions
Mailing address
931 Chevy Way
Medford, OR 97504-4127
Other names (DBA / former)
- Other name
- La Clinica School-Based Health Center at Armadillo Community Charter S
Registry dates
- Enumerated
- 2020-08-26
- Last updated
- 2024-03-01
- Certified
- 2024-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.