Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

St Lukes Clinic-Treasure Valley LLC

Organization Family Medicine Physician · NPI 1336442607

St Lukes Clinic-Treasure Valley LLC provides Family Medicine Physician services in Baker City, Oregon. Licensed in Idaho. Registered with an NPI since 2010.

Licensed in
ID
In the registry since
2010
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3950 17th St Ste A
Baker City, OR 97814-1300
Phone: (541) 523-1001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X · Licence 03 (ID)
Family Medicine Physician Taxonomy 207Q00000X · Licence 03 (ID)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 03 (ID)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 03 (ID)

Record details

NPI number1336442607
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSt Lukes Regional Medical Center Ltd
Authorized official Kathryn Fowler — Senior Vp, Cfo · (208) 381-8717
Other names St Lukes Rhc - Eoma; St Lukes Clinic - Eoma
NPI enumeratedDecember 8, 2010
Last updated in NPPESApril 23, 2026
Certification dateApril 23, 2026
Mailing addressPo Box 640, Boise, ID 83701-0640

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