River Rock Family Practice Pc

LBN: River Rock Family Practice Pc
River Rock Family Practice Pc is an health care organization with primary practice located at 1833 Nebraska Ave , Grants Pass OR 97527-5701. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. River Rock Family Practice Pc can be contacted via phone (541) 621-4736, or through Harrison, Tammy via phone (541) 226-9840.

Contact Information

Primary practice address
1833 Nebraska Ave Grants Pass OR 97527-5701
Fax:
Website:
Authorized official contact:
Name: Harrison, Tammy

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 200550153NP Oregon

Profile Details

NPI number 1184052136
LBN Legal business name River Rock Family Practice Pc
DBA Doing business as
Authorized official Harrison, Tammy
Entity Organization
Organization subpart 1 No
Enumeration date Oct 29th, 2013
Last updated Mar 7th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1184052136 NPPES
Oregon Other 200550153NP FNPC
Oregon Other 026845 FNPC
Oregon Other 1356355846 FNPC

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