Healthcare Provider Details

I. General information

NPI: 1376221259
Provider Name (Legal Business Name): ONE COMMUNITY HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2023
Last Update Date: 07/10/2023
Certification Date: 07/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65371 HIGHWAY 14
WHITE SALMON WA
98672-8690
US

IV. Provider business mailing address

849 PACIFIC AVE
HOOD RIVER OR
97031-1956
US

V. Phone/Fax

Practice location:
  • Phone: 509-493-2133
  • Fax:
Mailing address:
  • Phone: 541-386-6380
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM1000X
TaxonomyMigrant Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER GRIFFITH
Title or Position: CHIEF PEOPLE OFFICER
Credential:
Phone: 541-256-4406