Healthcare Provider Details

I. General information

NPI: 1679631683
Provider Name (Legal Business Name): SILVERTON HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2006
Last Update Date: 10/19/2016
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 4037
PORTLAND OR
97208
US

V. Phone/Fax

Practice location:
  • Phone: 971-983-5360
  • Fax: 971-983-5370
Mailing address:
  • Phone: 503-873-1500
  • Fax: 503-873-1534

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

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