Healthcare Provider Details

I. General information

NPI: 1649528696
Provider Name (Legal Business Name): CATHOLIC HEALTH INITIATIVE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2012
Last Update Date: 08/23/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 SE COURT AVE
PENDLETON OR
97801-3217
US

IV. Provider business mailing address

1601 SE COURT AVE
PENDLETON OR
97801-3217
US

V. Phone/Fax

Practice location:
  • Phone: 541-966-0520
  • Fax: 541-966-0530
Mailing address:
  • Phone: 541-966-0520
  • Fax: 541-966-0530

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: JIM SCHLENKER
Title or Position: CFO
Credential:
Phone: 541-278-3220