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EAST MEDFORD DENTAL CLINIC-LA CLINICA
NPI 1891061784
Clinic/Center - Federally Qualified Health Center (FQHC) in Medford, OR

Active since March 26, 2012
1113 PROGRESS DR, MEDFORD, OR 97504(541) 512-3900(541) 414-1175 Get Directions Write a Review

NPPES record last updated: July 15, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2019, Jun 13, 2018 (2 updates tracked since 2018).

About East Medford Dental Clinic-la Clinica NPPES

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

EAST MEDFORD DENTAL CLINIC-LA CLINICA (NPI 1891061784) is a healthcare organization registered as a federally qualified health center (fqhc) in Medford, Oregon and active in the NPI registry since March 2012. The organization lists Tara Lynette Jeannot, Chief Operations Officer, as its authorized official.

NPPES Registry Identity

NPI1891061784
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameLA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC.
Location Address1113 PROGRESS DRMedford, OR 97504
Mailing Address931 Chevy WayMedford, OR 97504-4127 · (541) 535-6239 · Fax (541) 842-2212
Phone(541) 512-3900
Fax(541) 414-1175
Organization SubpartYes
Authorized OfficialTara Lynette JeannotChief Operations Officer · (541) 535-6239
Enumeration DateMarch 26, 2012
Last NPPES UpdateJuly 15, 20192 updates tracked since enumeration
✔ NPI 1891061784 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
1113 PROGRESS DR, Medford, OR 97504
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Other Names 1

Doing Business AsEast Medford Dental Clinic-la Clinica

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.

RACHEL MURDOCK
Dental Hygienist
1113 PROGRESS DR
MEDFORD, OR 97504
Jackson County (541) 512-3900
DENNAE LEE SANDOE RDH
Dental Hygienist
1113 PROGRESS DR
MEDFORD, OR 97504
Jackson County (541) 512-3900
MARTA TOLMACH DMD
Dentist
1113 PROGRESS DR
MEDFORD, OR 97504
Jackson County (541) 535-6239
DR. DAVID DICKINSON DMD
Dentist
1113 PROGRESS DR
MEDFORD, OR 97504
Jackson County (541) 512-3900
MARIAH KATHLYN BALDWIN DMD
Dentist
1113 PROGRESS DR
MEDFORD, OR 97504
Jackson County (541) 512-3900
ANTON CONKLIN D.M.D.
Dentist (General Practice)
1113 PROGRESS DR
MEDFORD, OR 97504
Jackson County (541) 512-3900
SHANE BAXTER
Dentist
1113 PROGRESS DR
MEDFORD, OR 97504
Jackson County (541) 535-6239
SANDY HOANG DDS
Dentist
1113 PROGRESS DR
MEDFORD, OR 97504
Jackson County (541) 535-6239

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 1891061784. It was assigned to this organization in the NPPES registry on March 26, 2012. The provider is doing business as East Medford Dental Clinic-La Clinica.

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

La Clinica Del Valle Family Health Care Center Inc. is located at 1113 Progress Dr, Medford, OR 97504. The listed phone number is (541) 512-3900.

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 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.