LA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC.
NPI 1104194133
Clinic/Center - Federally Qualified Health Center (FQHC) in Medford, OR

Q: What is La Clinica Del Valle Family Health Care Center Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since December 05, 2011

931 CHEVY WAY, MEDFORD, OR 97504(541) 535-6239 Get Directions Write a Review

NPPES record last updated: November 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 21, 2025, Jul 15, 2019, Jun 13, 2018 (3 updates tracked since 2018).

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About La Clinica Del Valle Family Health Care Center Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC. (NPI 1104194133), doing business as Mobile Health Center- La Clinica, is a healthcare organization registered as a federally qualified health center (fqhc) in Medford, Oregon and active in the NPI registry since December 2011. The organization lists Traci Fossen, Cqo, as its authorized official.

NPPES Registry Identity

NPI1104194133

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameLA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC.

Location Address931 CHEVY WAYMedford, OR 97504-4127

Mailing Address931 Chevy WayMedford, OR 97504-4127 · (541) 535-6239 · Fax (541) 842-2212

Phone(541) 535-6239

Organization SubpartYes

Authorized OfficialTraci FossenCqo · (541) 512-3912

Enumeration DateDecember 5, 2011

Last NPPES UpdateNovember 21, 20253 updates tracked since enumeration

NPPES CertifiedNovember 21, 2025

✔ NPI 1104194133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

931 CHEVY WAY, Medford, OR 97504

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Other Names 1

Doing Business AsMobile Health Center- La Clinica

Other Identifiers 1

Medicaid022868OR

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. TAWNYA MICHELLE SOLTIS M.S. LPC

Counselor (Professional)