SILETZ COMMUNITY HEALTH CLINIC PHARMACY
NPI 1154837383
Pharmacy - Clinic Pharmacy in Siletz, OR

Active since December 26, 2017CLIA 38D0703075 · Waiver
200 GWEE SHUT RD, SILETZ, OR 97380(541) 444-1030 Get Directions Write a Review

NPPES record last updated: September 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 21, 2022, Dec 26, 2017 (2 updates tracked since 2017).

About Siletz Community Health Clinic Pharmacy NPPES

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

SILETZ COMMUNITY HEALTH CLINIC PHARMACY (NPI 1154837383) is a healthcare organization registered as a clinic pharmacy in Siletz, Oregon and active in the NPI registry since December 2017. The organization holds a CLIA Waiver certificate valid through August 19, 2027 and lists Miranda Williams, Health Director, as its authorized official.

NPPES Registry Identity

NPI1154837383
Entity TypeOrganization
Primary Taxonomy3336C0002X
Legal Business NameCONFEDERATED TRIBES OF SILETZ
Location Address200 GWEE SHUT RDSiletz, OR 97380-2036
Mailing AddressPo Box 320Siletz, OR 97380-0320
Organization SubpartNo
Authorized OfficialMiranda WilliamsHealth Director · (541) 444-1030
Enumeration DateDecember 26, 2017
Last NPPES UpdateSeptember 21, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2022
NPI 1154837383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Clinic PharmacySuppliers
Taxonomy Code3336C0002X
License Licensed in OR · RP-0002621-CS
Definition

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

200 GWEE SHUT RD, Siletz, OR 97380

Other Names 1

Doing Business AsSiletz Community Health Clinic Pharmacy

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D0703075

Siletz Community Health Clinic · Siletz, OR
Active · expires Aug 19, 2027
CLIA Number38D0703075
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateAugust 20, 2025
Certificate Expiration DateAugust 19, 2027
Laboratory DirectorLisa D. Taylor
Laboratory Phone(541) 444-1030
Laboratory LocationSiletz Community Health Clinic200 Gwee Shut Road, Siletz, OR 97380
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

Community Health Worker
200 GWEE SHUT RD
SILETZ, OR 97380
Counselor (Addiction (Substance Use Disorder))
200 GWEE SHUT RD
SILETZ, OR 97380
Internal Medicine
200 GWEE SHUT RD
SILETZ, OR 97380
Community Health Worker
200 GWEE SHUT RD
SILETZ, OR 97380
Peer Specialist
200 GWEE SHUT RD
SILETZ, OR 97380
Community Health Worker
200 GWEE SHUT RD
SILETZ, OR 97380
Case Manager/Care Coordinator
200 GWEE SHUT RD
SILETZ, OR 97380
Peer Specialist
200 GWEE SHUT RD
SILETZ, OR 97380

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Confederated Tribes Of Siletz's NPI number?

The NPI number for Confederated Tribes Of Siletz is 1154837383. It was assigned to this organization in the NPPES registry on December 26, 2017. The provider is doing business as Siletz Community Health Clinic Pharmacy.

Where is Confederated Tribes Of Siletz located?

Confederated Tribes Of Siletz is located at 200 Gwee Shut Rd, Siletz, OR 97380. The listed phone number is (541) 444-1030.

What is Confederated Tribes Of Siletz's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Clinic Pharmacy, with taxonomy code 3336C0002X.

Does Confederated Tribes Of Siletz hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D0703075) is associated with this NPI, valid through August 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Confederated Tribes Of Siletz was last updated on September 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.