Provider Demographics
NPI:1376501460
Name:WEST HILLS HEALTHCARE CLINIC PC
Entity Type:Organization
Organization Name:WEST HILLS HEALTHCARE CLINIC PC
Other - Org Name:KENYON NYQUIST HEALTHCARE CLINIC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:ERIC
Authorized Official - Last Name:SCHIEBER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:503-472-4197
Mailing Address - Street 1:2163 NW 2ND ST
Mailing Address - Street 2:
Mailing Address - City:MCMINNVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97128-9108
Mailing Address - Country:US
Mailing Address - Phone:503-472-4197
Mailing Address - Fax:503-434-2886
Practice Address - Street 1:2163 NW 2ND ST
Practice Address - Street 2:
Practice Address - City:MCMINNVILLE
Practice Address - State:OR
Practice Address - Zip Code:97128-9108
Practice Address - Country:US
Practice Address - Phone:503-472-4197
Practice Address - Fax:503-434-2886
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-01
Last Update Date:2013-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty