LA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC. - NPI 1104194133

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

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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 13

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

REBEKAH S SHERMAN RN

Registered Nurse