Healthcare Provider Details

I. General information

NPI: 1790509958
Provider Name (Legal Business Name): UMATILLA COUNTY NURSE FAMILY PARTNERSHIP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2024
Last Update Date: 11/13/2024
Certification Date: 11/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 SE 3RD ST
PENDLETON OR
97801-2503
US

IV. Provider business mailing address

200 SE 3RD ST
PENDLETON OR
97801-2503
US

V. Phone/Fax

Practice location:
  • Phone: 541-278-5432
  • Fax: 541-278-5433
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: ALISHA LUNDGREN
Title or Position: DEPUTY DIRECTOR
Credential:
Phone: 541-278-5432