Healthcare Provider Details

I. General information

NPI: 1982692372
Provider Name (Legal Business Name): SHERMAN COUNTY HEALTH DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2005
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 MAIN ST
MORO OR
97039-3080
US

IV. Provider business mailing address

PO BOX 186
MORO OR
97039-0186
US

V. Phone/Fax

Practice location:
  • Phone: 541-565-0536
  • Fax: 541-565-3617
Mailing address:
  • Phone: 541-565-0536
  • Fax: 541-565-3617

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. CAITLIN M BLAGG
Title or Position: DISTRICT ADMINISTRATOR
Credential:
Phone: 541-565-0536