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LA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC.
NPI 1811621899
Clinic/Center - Federally Qualified Health Center (FQHC) in Phoenix, OR

Active since July 14, 2022
745 N ROSE ST, PHOENIX, OR 97535(541) 535-6239(541) 494-1789 Get Directions Write a Review

NPPES record last updated: July 14, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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 1811621899) is a healthcare organization registered as a federally qualified health center (fqhc) in Phoenix, Oregon and active in the NPI registry since July 2022. The organization lists Traci Fossen, Chief Quality Officer, as its authorized official.

NPPES Registry Identity

NPI1811621899
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameLA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC.
Location Address745 N ROSE STPhoenix, OR 97535-5704
Mailing Address931 Chevy WayMedford, OR 97504-4127 · (541) 535-6239 · Fax (541) 494-1789
Phone(541) 535-6239
Fax(541) 494-1789
Organization SubpartYes
Authorized OfficialTraci FossenChief Quality Officer · (541) 512-3912
Enumeration DateJuly 14, 2022
NPPES CertifiedJuly 5, 2022
✔ NPI 1811621899 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
745 N ROSE ST, Phoenix, OR 97535
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Other Names 1

Other NameLa Clinica School-based Health Center At Phoenix High School

Other Providers at the Same Location NPPES 6

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

KATELYN R JONES MSW, NMT LEVEL I
Counselor (Mental Health)
745 N ROSE ST
PHOENIX, OR 97535
Jackson County (541) 535-6239
JEAN OLDHAM
Registered Nurse
745 N ROSE ST
PHOENIX, OR 97535
Jackson County (541) 535-6239
ASHLEY MARIE SILVER
Case Manager/Care Coordinator
745 N ROSE ST
PHOENIX, OR 97535
Jackson County (541) 535-6239
ALEXANDRIA MARIE FENIMORE
Counselor (Mental Health)
745 N ROSE ST
PHOENIX, OR 97535
Jackson County (541) 535-6239
YESENIA SOLORZANO
Case Manager/Care Coordinator
745 N ROSE ST
PHOENIX, OR 97535
Jackson County (541) 535-1526
LYDIA RUTHANN WOODY
Counselor (Mental Health)
745 N ROSE ST
PHOENIX, OR 97535
Jackson County (541) 535-6329

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 La Clinica Del Valle Family Health Care Center Inc.'s NPI number?

The NPI number for La Clinica Del Valle Family Health Care Center Inc. is 1811621899. It was assigned to this organization in the NPPES registry on July 14, 2022. The provider is also known as La Clinica School-based Health Center at Phoenix High School.

Where is La Clinica Del Valle Family Health Care Center Inc. located?

La Clinica Del Valle Family Health Care Center Inc. is located at 745 N Rose St, Phoenix, OR 97535. The listed phone number is (541) 535-6239.

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.

When was this NPI record last updated?

The NPPES record for La Clinica Del Valle Family Health Care Center Inc. was last updated on July 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.