Columbia River Health
LBN: Columbia River Health
Columbia River Health is an health care organization with primary practice located at 450 Tatone St , Boardman OR 97818-8076. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Columbia River Health can be contacted via phone (541) 481-7212, or through Olivas, Sanjuanita via phone (541) 481-5448.
Contact Information
Primary practice address
450 Tatone St
Boardman OR 97818-8076
Phone: (541) 481-7212
Fax: (541) 481-2020
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Community Health | 261QC1500X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1710084140 |
|---|---|
| LBN Legal business name | Columbia River Health |
| DBA Doing business as | |
| Authorized official | Olivas, Sanjuanita CPC, CPPM |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Jun 10th, 2026 - about 4 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710084140 | NPPES |
| Oregon | MEDICAID | 276286 |
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