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CLUB NORTHWEST
NPI 1356854830
Clinic/Center - Multi-Specialty in Grants Pass, OR

Active since November 07, 2017
2160 NW VINE ST, GRANTS PASS, OR 97526(541) 955-2582 Get Directions Write a Review

NPPES record last updated: November 7, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Club Northwest NPPES

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

CLUB NORTHWEST (NPI 1356854830) is a healthcare organization registered as a multi-specialty in Grants Pass, Oregon and active in the NPI registry since November 2017. The organization lists Stacy Rae Cappadona, Registered Dietitian, as its authorized official.

NPPES Registry Identity

NPI1356854830
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameCLUB NORTHWEST
Location Address2160 NW VINE STGrants Pass, OR 97526-8439
Mailing Address2160 Nw Vine StGrants Pass, OR 97526-8439
Phone(541) 955-2582
Organization SubpartNo
Authorized OfficialStacy Rae CappadonaRegistered Dietitian · (541) 955-2582
Enumeration DateNovember 7, 2017
✔ NPI 1356854830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
2160 NW VINE ST, Grants Pass, OR 97526
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Other Providers at the Same Location NPPES 2

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

BENCHMARK PHYSICAL THERAPY OF OREGON LLC
Physical Therapist
2160 NW VINE ST
GRANTS PASS, OR 97526
Josephine County (541) 476-1919
CORY ALEXANDER STATTELMAN DPT
Physical Therapist
2160 NW VINE ST
GRANTS PASS, OR 97526
Josephine County (541) 479-4916

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 Club Northwest's NPI number?

The NPI number for Club Northwest is 1356854830. It was assigned to this organization in the NPPES registry on November 7, 2017.

Where is Club Northwest located?

Club Northwest is located at 2160 NW Vine St, Grants Pass, OR 97526. The listed phone number is (541) 955-2582.

What is Club Northwest's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Club Northwest was last updated on November 7, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.