YAKIMA VALLEY FARM WORKERS CLINIC (NPI# 1184246134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184246134 |
| Entity Type | Organization |
| Organization Name | YAKIMA VALLEY FARM WORKERS CLINIC |
| Practice Address |
135 Ne 102nd Ave Portland OR 97220-4167 |
| Mailing Address |
Po Box 190 Toppenish WA 98948-0190 |
| Practice Telephone | 5098656175 |
| Practice Fax Number | 5098652139 |
| Mailing Telephone | 5098656175 |
| Mailing Fax Number | 5098652139 |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2020-05-13 |
| Authorized Official Name | DINA BEJAR (VP OF BILLING) |
| Authorized Official Telephone | 5088656175 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | REGISTRY NUMBER | 167254698 | 01 |
| Other Name | Type Code |
|---|---|
| ROSEWOOD FAMILY HEALTH AT GATEWAY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710422407 | Yakima Valley Farm Workers Clinic | Clinic/Center | 115 Sunnyside Avenue, Granger, WA 98932 | 2017-01-04 |
| 1114344611 | Yakima Valley Farm Workers Clinic | Clinic/Center | 1715 E Lincoln Ave, Sunnyside, WA 98944-2478 | 2014-03-21 |
| 1982046710 | Yakima Valley Farm Workers Clinic | Clinic/Center | 2680 Yakima Valley Hwy Ste B, Sunnyside, WA 98944-1242 | 2013-07-22 |
| 1003945205 | Yakima Valley Farm Workers Clinic | Clinic/Center | 300 Division St, Grandview, WA 98930-1359 | 2007-03-05 |
| 1083743538 | Yakima Valley Farm Workers Clinic | Clinic/Center | 603 W 4th Ave, Toppenish, WA 98948-1617 | 2007-03-02 |
| 1972684710 | Yakima Valley Farm Workers Clinic | Clinic/Center | 3896 Beverly Ave Ne Ste 40 Building J, Salem, OR 97305-1374 | 2006-10-18 |
| 1396831624 | Yakima Valley Farm Workers Clinic | Pharmacy | 510 West First Avenue, Toppenish, WA 98948 | 2006-10-05 |
| 1427001940 | Yakima Valley Farm Workers Clinic | Clinic/Center | 589 Nw 11th St, Hermiston, OR 97838 | 2006-05-18 |
| 1679526107 | Yakima Valley Farm Workers Clinic | Clinic/Center | 8935 Se Powell Blvd, Portland, OR 97266-1938 | 2006-05-18 |
| 1508817313 | Yakima Valley Farm Workers Clinic | Clinic/Center | 518 W 1st Ave, Toppenish, WA 98948-1564 | 2006-05-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | YAKIMA VALLEY FARM WORKERS CLINIC | 604 W 1st Ave, Toppenish, WA 98948 |
| Washington State Corporations | YAKIMA VALLEY FARM WORKERS CLINIC | 604 W 1st Ave, Po Box 190, Toppenish, WA 98948 |
| Street Address |
135 NE 102ND AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97220-4167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922089580 | Todd Michael Rosborough | Physician Assistant | 135 Ne 102nd Ave, Portland, OR 97220-4167 | 2005-11-10 |
| 1104438274 | Laboratory Corporation of America | Clinical Medical Laboratory | 135 Ne 102nd Ave, Portland, OR 97220-4167 | 2020-08-20 |
| 1720489297 | Trung Phu Chung | Physician Assistant | 135 Ne 102nd Ave, Portland, OR 97220-4167 | 2014-09-15 |
| 1417217894 | Rose City Medical LLC | Clinic/Center | 135 Ne 102nd Ave, Portland, OR 97220-4167 | 2012-05-20 |
| 1972872646 | Jennifer Jablin | Nurse Practitioner | 135 Ne 102nd Ave, Portland, OR 97220-4167 | 2011-12-23 |
| 1700017167 | Gay Wong | Nurse Practitioner | 135 Ne 102nd Ave, Portland, OR 97220-4167 | 2009-08-04 |
| 1700833217 | Vee S Yoong | Physician Assistant | 135 Ne 102nd Ave, Portland, OR 97220-4167 | 2006-05-28 |
| 1518941525 | Timothy J Treible Md PC | Orthopaedic Surgery | 135 Ne 102nd Ave, Portland, OR 97220-4167 | 2005-12-02 |
| 1669454997 | Timothy James Treible | Orthopaedic Surgery | 135 Ne 102nd Ave, Portland, OR 97220-4167 | 2005-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316569254 | Debra Shamblin | Behavioral Analyst | 150 Ne 100th Ave, Portland, OR 97220 | 2020-05-14 |
| 1336780618 | Joan Lambert | Technician | 2802 Ne 108th Avenue, Portland, OR 97220 | 2019-10-08 |
| 1750933917 | Multnomah County | Clinic/Center | 11540 Ne Inverness Dr., Inverness Jail, Portland, OR 97220 | 2019-07-09 |
| 1194223107 | Landmark Connect of Oregon PC | General Practice | 5933 Ne Win Sivers Dr Ste 310, Portland, OR 97220 | 2018-01-24 |
| 1487178711 | Andrew Shonk | Massage Therapist | 163 Ne 102nd Ave Blid V, Portland, OR 97220 | 2017-07-28 |
| 1548781693 | Greater New Hope Family Services | Lodging | 11868 Ne Sandy Blvd, Portland, OR 97220 | 2017-06-29 |
| 1245771740 | Maria Teresa Banez Salcedo | Registered Nurse | 10300 Ne Hancock Street, Portland, OR 97220 | 2017-03-16 |
| 1568901858 | Christopher Gabriel Lyons | Adult Companion | 1343 Ne 118 Ave. Apt5, Portland, OR 97220 | 2017-02-20 |
| 1962945956 | Linda Ann Oldenburg | Registered Nurse | 9515 Ne Skidmore Avenue, Portland, OR 97220 | 2016-11-23 |
| 1326493446 | Trent D. Wilson | Massage Therapist | 8401 Ne Halsey St., Suite 101, Portland, OR 97220 | 2016-04-26 |
| Find all providers in zip 97220 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679047872 | Portland Community Health Center | Clinic/Center | 52 Frederic St, Portland, ME 04102-2700 | 2019-01-22 |
| 1043783822 | Portland Community Health Center | Clinic/Center | 72 Bishop St, Portland, ME 04102-2957 | 2019-01-04 |
| 1770056558 | Portland Community Health Center | Clinic/Center | 190 Valley Street, Portland, ME 04102-2957 | 2019-01-04 |
| 1427563733 | Central City Concern Inc | Clinic/Center | 1415 Se 122nd Ave, Portland, OR 97233 | 2017-12-08 |
| 1700317971 | Portland Community Health Center | Clinic/Center | 28 Portland St, Portland, ME 04101-2912 | 2017-03-21 |
| 1255872537 | Portland Community Health Center | Clinic/Center | 175 Auburn St, Portland, ME 04103-2131 | 2017-03-20 |
| 1477005619 | Outside In | Clinic/Center | 1226 Sw 12th Ave, Portland, OR 97205-2029 | 2016-11-03 |
| 1649636986 | Mainline Health Systems, Inc | Clinic/Center | 314 Highway 160 E, Portland, AR 71663-9262 | 2015-12-31 |
| 1144691098 | Central City Concern Inc | Clinic/Center | 2566 Ne Hoyt St, Portland, OR 97232-2323 | 2015-10-16 |
| 1295119386 | Central City Concern Inc | Clinic/Center | 12133 E. Burnside St, Portland, OR 97216-2344 | 2015-07-17 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.