Provider Demographics
NPI:1689765240
Name:POWERS HEALTH DISTRICT
Entity Type:Organization
Organization Name:POWERS HEALTH DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANGER
Authorized Official - Prefix:
Authorized Official - First Name:BETSY
Authorized Official - Middle Name:
Authorized Official - Last Name:MOWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-439-7884
Mailing Address - Street 1:PO BOX 40
Mailing Address - Street 2:
Mailing Address - City:POWERS
Mailing Address - State:OR
Mailing Address - Zip Code:97466-0040
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:140 POPLAR STREET
Practice Address - Street 2:
Practice Address - City:POWERS
Practice Address - State:OR
Practice Address - Zip Code:97466-0040
Practice Address - Country:US
Practice Address - Phone:541-439-7884
Practice Address - Fax:541-439-3225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR128681Medicaid
OR383841Medicare Oscar/Certification