1033522149 NPI number — THE CLOVER CLINIC, LLC

Table of content: (NPI 1033522149)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1033522149 NPI number — THE CLOVER CLINIC, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE CLOVER CLINIC, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1033522149
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/05/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1530 E 1ST ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEWBERG
Provider Business Mailing Address State Name:
OR
Provider Business Mailing Address Postal Code:
97132-3237
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
503-487-6018
Provider Business Mailing Address Fax Number:
503-487-6127

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1530 E 1ST ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEWBERG
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97132-3237
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
503-487-6018
Provider Business Practice Location Address Fax Number:
503-487-6127
Provider Enumeration Date:
06/05/2014

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
OLSEN
Authorized Official First Name:
LEAH
Authorized Official Middle Name:
MICHELLE
Authorized Official Title or Position:
LEAD PHYSICIAN AND OWNER
Authorized Official Telephone Number:
503-432-5555

Provider Taxonomy Codes

  • Taxonomy code: 175F00000X , with the licence number:  OR1845 , registered in the state of OR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)