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1609724541 NPI number — OREGON WASHINGTON HEALTH NETWORK- CENTRO COPES

NPI Number: 1609724541
Health Care Provider/Practitioner: OREGON WASHINGTON HEALTH NETWORK- CENTRO COPES

Information about “1609724541” NPI (OREGON WASHINGTON HEALTH NETWORK- CENTRO COPES) exists in 1609724541 in HTML format HTML  |  1609724541 in plain Text format TXT  |  1609724541 in PDF (Portable Document Format) PDF  |  1609724541 in an XML format XML  formats.

NPI Number : 1609724541 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1609724541",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "OREGON WASHINGTON HEALTH NETWORK",
    "ParentOrgTIN": null,
    "OrgName": "OREGON WASHINGTON HEALTH NETWORK- CENTRO COPES",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 882",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PENDLETON",
    "MailingAddressStateName": "OR",
    "MailingAddressPostalCode": "97801-0882",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "541-303-1045",
    "MailingAddressFaxNumber": "541-663-4142",
    "FirstLinePracticeLocationAddress": "140 SW 11TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HERMISTON",
    "PracticeLocationAddressStateName": "OR",
    "PracticeLocationAddressPostalCode": "97838-1415",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "541-303-1045",
    "PracticeLocationAddressFaxNumber": "541-663-4142",
    "EnumerationDate": "03/17/2026",
    "LastUpdateDate": "03/17/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "STENSRUD",
    "AuthorizedOfficialFirstName": "JENNA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "EXECUTIVE DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "BS, CADC-R",
    "AuthorizedOfficialTelephoneNumber": "541-663-4104",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "261QH0100X",
          "TaxonomyName": "Health Service Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251S00000X",
          "TaxonomyName": "Community/Behavioral Health Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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