Healthcare Provider Details

I. General information

NPI: 1609724541
Provider Name (Legal Business Name): OREGON WASHINGTON HEALTH NETWORK- CENTRO COPES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2026
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 SW 11TH ST
HERMISTON OR
97838-1415
US

IV. Provider business mailing address

PO BOX 882
PENDLETON OR
97801-0882
US

V. Phone/Fax

Practice location:
  • Phone: 541-303-1045
  • Fax: 541-663-4142
Mailing address:
  • Phone: 541-303-1045
  • Fax: 541-663-4142

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JENNA STENSRUD
Title or Position: EXECUTIVE DIRECTOR
Credential: BS, CADC-R
Phone: 541-663-4104