Healthcare Provider Details

I. General information

NPI: 1679686463
Provider Name (Legal Business Name): SILVERTON HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2006
Last Update Date: 05/11/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1475 MT. HOOD AVE
WOODBURN OR
97071
US

IV. Provider business mailing address

PO BOX 3417
PORTLAND OR
97208-3417
US

V. Phone/Fax

Practice location:
  • Phone: 503-982-2174
  • Fax: 503-982-4599
Mailing address:
  • Phone: 503-873-1500
  • Fax: 503-873-1534

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: LINDA HOFF
Title or Position: CFO
Credential:
Phone: 503-415-5730