OrganizationActive
La Clinica Del Valle Family Health Care Center Inc.
NPI 1821333402 · Federally Qualified Health Center (FQHC) · Phoenix, OR
Provider details
- NPI number
- 1821333402
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Parent organization
- La Clinica Del Valle Family Health Care Center Inc.
- Organization subpart
- Yes
- Authorized official
- Tara Jeannot, Chief Operations Officer(541) 535-6239
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
215 N Rose St
Phoenix, OR 97535
Phone: (541) 535-1065
Fax: (541) 512-2082
Approximate (ZIP-level) locationGet directions
Mailing address
931 Chevy Way
Medford, OR 97504-4127
Other names (DBA / former)
- Doing business as
- La Clinica School-Based Health Center at Phoenix Elementary School
Registry dates
- Enumerated
- 2012-12-07
- Last updated
- 2019-07-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.