Healthcare Provider Details

I. General information

NPI: 1881630713
Provider Name (Legal Business Name): COUNTY OF UMATILLA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2006
Last Update Date: 11/19/2024
Certification Date: 11/19/2024
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: 541-278-5432
  • Fax: 541-278-5433

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code261QA0005X
TaxonomyAmbulatory Family Planning Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QF0050X
TaxonomyNon-Surgical Family Planning Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number StateOR

VIII. Authorized Official

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