Provider Demographics
NPI:1790831709
Name:VALLEY WOMEN'S HEALTH, PC
Entity Type:Organization
Organization Name:VALLEY WOMEN'S HEALTH, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:BARTON
Authorized Official - Last Name:NEELD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:503-474-1148
Mailing Address - Street 1:2700 SE STRATUS AVE
Mailing Address - Street 2:SUITE 301
Mailing Address - City:MCMINNVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97128-6255
Mailing Address - Country:US
Mailing Address - Phone:503-474-1148
Mailing Address - Fax:503-434-6148
Practice Address - Street 1:2700 SE STRATUS AVE
Practice Address - Street 2:SUITE 301
Practice Address - City:MCMINNVILLE
Practice Address - State:OR
Practice Address - Zip Code:97128-6255
Practice Address - Country:US
Practice Address - Phone:503-474-1148
Practice Address - Fax:503-434-6148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR022734Medicaid