Provider Demographics
NPI:1609195700
Name:NORTH POWDER SCHOOL DISTRICT 8J
Entity Type:Organization
Organization Name:NORTH POWDER SCHOOL DISTRICT 8J
Other - Org Name:NORTH POWDER CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EMPLOYEE
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:IRVINE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:541-898-2244
Mailing Address - Street 1:PO BOX 10
Mailing Address - Street 2:
Mailing Address - City:NORTH POWDER
Mailing Address - State:OR
Mailing Address - Zip Code:97867-0010
Mailing Address - Country:US
Mailing Address - Phone:541-898-2244
Mailing Address - Fax:
Practice Address - Street 1:333 G STREET
Practice Address - Street 2:
Practice Address - City:NORTH POWDER
Practice Address - State:OR
Practice Address - Zip Code:97867
Practice Address - Country:US
Practice Address - Phone:541-898-2244
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-28
Last Update Date:2011-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care