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General NPI Number Information
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NPI Number | 1609724541
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Entity Type | Organization
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Legal Business Name | OREGON WASHINGTON HEALTH NETWORK- CENTRO COPES
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Dates
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Enumeration Date | 03/17/2026
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Last Update Date | 03/17/2026
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Provider Practice Location Address
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Address Line | 140 SW 11TH ST
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City | HERMISTON
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State | OR
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Zip | 97838-1415
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Country | US
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Telephone | 541-303-1045
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Fax | 541-663-4142
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Provider Business Mailing Address
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Address Line | PO BOX 882
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City | PENDLETON
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State | OR
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Zip | 97801-0882
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Country | US
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Telephone | 541-303-1045
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Fax | 541-663-4142
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | JENNA STENSRUD
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Credential | BS, CADC-R
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Telephone | 541-663-4104
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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