Provider Demographics
NPI:1871652198
Name:SILVERTON HEALTH
Entity Type:Organization
Organization Name:SILVERTON HEALTH
Other - Org Name:WOODBURN SPECIALIST CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN SERVICES COORD.
Authorized Official - Prefix:
Authorized Official - First Name:JANELLE
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:GALVAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:971-983-5225
Mailing Address - Street 1:1475 MOUNT HOOD AVE
Mailing Address - Street 2:
Mailing Address - City:WOODBURN
Mailing Address - State:OR
Mailing Address - Zip Code:97071-9066
Mailing Address - Country:US
Mailing Address - Phone:971-983-5252
Mailing Address - Fax:971-983-5253
Practice Address - Street 1:1475 MOUNT HOOD AVE
Practice Address - Street 2:
Practice Address - City:WOODBURN
Practice Address - State:OR
Practice Address - Zip Code:97071-9066
Practice Address - Country:US
Practice Address - Phone:971-983-5252
Practice Address - Fax:971-983-5253
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center