Four Rivers Healthcare Clinic
Four Rivers Healthcare Clinic provides Psychiatric/Mental Health Nurse Practitioner services in Ontario, Oregon. Licensed in Oregon. Registered with an NPI since 2009.
- Licensed in
- OR
- In the registry since
- 2009
- Specialties on file
- 2
Practice location Address checks out
932 W Idaho Ave Ste 100Ontario, OR 97914-2155 Not confirmed with CMS for 16 years — call before visiting
Phone: (541) 889-2244
Fax: (541) 889-2626
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Health Clinical Nurse Specialist (primary) | Taxonomy 364SF0001X · Licence 07904 (OR) |
|---|---|
| Psychiatric/Mental Health Nurse Practitioner | Taxonomy 363LP0808X · Licence 200550081NP (OR) |
Record details
| NPI number | 1588999007 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jody Stark — President · (541) 889-2244 |
| NPI enumerated | October 16, 2009 |
| Last updated in NPPES | October 16, 2009 |
| Mailing address | 640 Sw 4th Ave, Ontario, OR 97914-2625 |
Other providers in Ontario
-
Tami Beth Lamb, NP
777 Stanton Blvd, Ontario, OR 97914-8335 · (541) 881-5000
-
Jody A. Stark, NP
932 W Idaho Ave Ste 100, Ontario, OR 97914-2155 · (541) 889-2244
-
Patrick Riley Wilcox, PMHNP-BC
2327 SW 4th Ave, Ontario, OR 97914-1851 · (541) 889-2340
-
Mrs. Lindsay Wood, PMHNP-BC
1219 SW 4th Ave Unit 1, Ontario, OR 97914-4500 · (541) 709-4008