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WHITE CITY CBOC
NPI 1871537258
Clinic/Center - VA in White City, OR

Active since June 15, 2006
8495 CRATER LAKE HWY, WHITE CITY, OR 97503(541) 826-2111(541) 830-3500 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About White City Cboc NPPES

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

WHITE CITY CBOC (NPI 1871537258) is a healthcare organization registered as a va in White City, Oregon and active in the NPI registry since June 2006. The organization lists Barbara Mayerick, Director, Business Development, as its authorized official.

NPPES Registry Identity

NPI1871537258
Entity TypeOrganization
Primary Taxonomy261QV0200X
Legal Business NameWHITE CITY CBOC
Location Address8495 CRATER LAKE HWYWhite City, OR 97503-3011
Mailing Address8495 Crater Lake HwyWhite City, OR 97503-3011 · (541) 826-2111 · Fax (541) 830-3500
Phone(541) 826-2111
Fax(541) 830-3500
Organization SubpartNo
Authorized OfficialBarbara MayerickDirector, Business Development · (202) 254-0339
Enumeration DateJune 15, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1871537258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
8495 CRATER LAKE HWY, White City, OR 97503
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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.

ADRIAN ANTHONY GARIBAY
Registered Nurse
8495 CRATER LAKE HWY
WHITE CITY, OR 97503
Jackson County (541) 826-2111
KANDICE DRAAYER RN
Registered Nurse (Psychiatric/Mental Health, Adult)
8495 CRATER LAKE HWY
WHITE CITY, OR 97503
Jackson County (541) 826-2111
WHITE CITY VAMC
General Acute Care Hospital
8495 CRATER LAKE HWY, VA SORCC
WHITE CITY, OR 97503
Jackson County (702) 341-3164
MR. KEVIN LEONARD WILLIAMS MSW, LCSW
Social Worker (Clinical)
8495 CRATER LAKE HWY
WHITE CITY, OR 97503
Jackson County (541) 826-2111
DR. ERIC GUSTAFSON PHARM.D.
Pharmacist
8495 CRATER LAKE HWY
WHITE CITY, OR 97503
Jackson County (541) 826-2111
LYN WAYNE SHEPERD
Registered Nurse
8495 CRATER LAKE HWY
WHITE CITY, OR 97503
Jackson County (541) 826-2111
JEAN EILEEN MOUNT
Nurse Practitioner (Adult Health)
8495 CRATER LAKE HWY
WHITE CITY, OR 97503
Jackson County (541) 826-2111
MR. MICHAEL JOHN OMALLEY M.S., LPC, LMHC
Counselor (Mental Health)
8495 CRATER LAKE HWY
WHITE CITY, OR 97503
Jackson County (541) 826-2111

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 White City Cboc's NPI number?

The NPI number for White City Cboc is 1871537258. It was assigned to this organization in the NPPES registry on June 15, 2006.

Where is White City Cboc located?

White City Cboc is located at 8495 Crater Lake Hwy, White City, OR 97503. The listed phone number is (541) 826-2111.

What is White City Cboc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in VA, with taxonomy code 261QV0200X.

When was this NPI record last updated?

The NPPES record for White City Cboc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.