NPI 1154837383 · live from the CMS NPI Registry
Confederated Tribes Of Siletz
Pharmacy, Clinic Pharmacy in Siletz, OR. National Provider Identifier 1154837383, active.
NPI record
| NPI | 1154837383 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Clinic Pharmacy 3336C0002X |
| Practice location | 200 Gwee Shut Rd, Siletz, OR 97380 |
| Practice phone | 541-444-1030 |
| Mailing address | Po Box 320, Siletz, OR 97380 |
| Enumerated | December 26, 2017 |
| Last updated | September 21, 2022 |
| Authorized official | Miranda Williams, Health Director |
| Other names | Siletz Community Health Clinic Pharmacy |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Clinic Pharmacy primary | 3336C0002X | RP-0002621-CS (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.