COLUMBIA RIVER HEALTH
NPI 1710084140
Clinic/Center - Federally Qualified Health Center (FQHC) in Boardman, OR

Active since September 20, 2006
450 TATONE ST, BOARDMAN, OR 97818(541) 481-7212(541) 481-2020 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 28, 2021, Feb 10, 2021 (2 updates tracked since 2021).

About Columbia River Health NPPES

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

COLUMBIA RIVER HEALTH (NPI 1710084140) is a healthcare organization registered as a federally qualified health center (fqhc) in Boardman, Oregon and active in the NPI registry since September 2006. The organization lists Sanjuanita Olivas, Revenue Cycle Director, as its authorized official.

NPPES Registry Identity

NPI1710084140
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCOLUMBIA RIVER HEALTH
Location Address450 TATONE STBoardman, OR 97818-8076
Mailing AddressPo Box 397Boardman, OR 97818-0397 · (541) 481-7212 · Fax (541) 481-5447
Fax(541) 481-2020
Organization SubpartNo
Authorized OfficialSanjuanita OlivasRevenue Cycle Director · (541) 481-5448
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJune 10, 20262 updates tracked since enumeration
NPPES CertifiedJune 10, 2026
✔ NPI 1710084140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X
450 TATONE ST, Boardman, OR 97818

Other Identifiers 1

Medicaid276286OR

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Columbia River Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Columbia River Health, which bills Medicare for the services they deliver. Of these, 6 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Nurse Practitioner
NPI 1457067134
450 TATONE ST
Boardman, OR 97818
(541) 481-7212
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1689270506
450 TATONE ST
Boardman, OR 97818
(541) 481-7212
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1417820135
450 TATONE ST
Boardman, OR 97818
(541) 481-7212
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1225623853
450 TATONE ST
Boardman, OR 97818
(503) 481-7212
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1548366644
450 TATONE ST
Boardman, OR 97818
(541) 481-7212
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1194901785
450 TATONE ST
Boardman, OR 97818
(541) 481-7212
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Columbia River Health's NPI number?

The NPI number for Columbia River Health is 1710084140. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is Columbia River Health located?

Columbia River Health is located at 450 Tatone St, Boardman, OR 97818. The listed phone number is (541) 481-7212.

What is Columbia River Health's specialty?

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

Is Columbia River Health enrolled in Medicare?

Yes. Columbia River Health is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Columbia River Health?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Columbia River Health. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3), Family Practice (2) and Clinical Social Worker (1). Of these, 6 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Columbia River Health accept?

Health plans from Moda Health Plan, Inc. list Columbia River Health as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Columbia River Health was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.