Canyon Creek Clinic

LBN: Canyon Creek Clinic
Canyon Creek Clinic is an health care organization with primary practice located at 235 S Canyon Blvd , John Day OR 97845-1044. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Canyon Creek Clinic can be contacted via phone (541) 575-1263, or through Clark, Shawna via phone (541) 575-1263.

Contact Information

Primary practice address
235 S Canyon Blvd John Day OR 97845-1044
Phone: (541) 575-1263
Fax: (541) 575-0233
Website:
Map and Directions
Authorized official contact:
Name: Clark, Shawna Family Nurse Practitioner (FNP)
Phone: (541) 575-1263

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1356952048
LBN Legal business name Canyon Creek Clinic
DBA Doing business as
Authorized official Clark, Shawna Family Nurse Practitioner (FNP)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 14th, 2020
Last updated Jun 22nd, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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