Healthcare Provider Details

I. General information

NPI: 1003075698
Provider Name (Legal Business Name): YAMHILL COUNTY HEALTH & HUMAN SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2008
Last Update Date: 12/12/2024
Certification Date: 12/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 NE KIRBY ST
MCMINNVILLE OR
97128-4301
US

IV. Provider business mailing address

310 NE KIRBY ST
MCMINNVILLE OR
97128-4301
US

V. Phone/Fax

Practice location:
  • Phone: 503-434-7525
  • Fax: 503-472-9731
Mailing address:
  • Phone: 503-434-7525
  • Fax: 503-472-9731

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code363LC1500X
TaxonomyCommunity Health Nurse Practitioner
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code163WR1000X
TaxonomyReproductive Endocrinology/Infertility Registered Nurse
License Number
License Number StateNULL

VIII. Authorized Official

Name: LINDSEY MANFRIN
Title or Position: DIRECTOR
Credential:
Phone: 503-434-7525