Healthcare Provider Details

I. General information

NPI: 1457293672
Provider Name (Legal Business Name): YELLOWHAWK TRIBAL HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2026
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

46314 TIMINE WAY
PENDLETON OR
97801-9417
US

IV. Provider business mailing address

PO BOX 160
PENDLETON OR
97801-0160
US

V. Phone/Fax

Practice location:
  • Phone: 541-240-8742
  • Fax: 541-240-8768
Mailing address:
  • Phone: 541-240-8742
  • Fax: 541-240-8768

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code405300000X
TaxonomyPrevention Professional
License Number
License Number State

VIII. Authorized Official

Name: MISS JACQUELINE THOMPSON
Title or Position: ASSISTANT BUSINESS OFFICE MANAGER
Credential:
Phone: 541-699-7454