Confederated Tribes of the Grand Ronde Community of Oregon

Practice location Address checks out

9605 Grand Ronde Rd
Grand Ronde, OR 97347-9712
Phone: (503) 879-2236
Fax: (503) 879-5089

Additional practice locations (2)

• 3580 Se 82nd Ave, Portland, OR 97266-2902 — (971) 339-9240
• 1011 Commercial St Ne Ste 110, Salem, OR 97301-1036 — (503) 983-9900

Specialties & licences

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (primary)	Taxonomy 332800000X
Counselor	Taxonomy 101Y00000X
Addiction (Substance Use Disorder) Counselor	Taxonomy 101YA0400X
Chiropractor	Taxonomy 111N00000X
General Practice Dentistry	Taxonomy 1223G0001X
Optometrist	Taxonomy 152W00000X
General Practice Physician	Taxonomy 208D00000X
Community Health Clinic/Center	Taxonomy 261QC1500X
Federally Qualified Health Center (FQHC)	Taxonomy 261QF0400X · Licence 126883 (OR)
Radiology Clinic/Center	Taxonomy 261QR0200X · Licence 445142 (OR)
Clinical Medical Laboratory	Taxonomy 291U00000X · Licence 38D0862855 (OR)
Pharmacy	Taxonomy 333600000X · Licence 1559 (OR)
Family Nurse Practitioner	Taxonomy 363LF0000X
Primary Care Nurse Practitioner	Taxonomy 363LP2300X

Record details

NPI number	1174666358
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Kelly Rowe — Executive Director Health Services · (503) 879-2075
Other names	Grand Ronde Health And Wellness Center; Great Circle Recovery
NPI enumerated	February 15, 2007
Last updated in NPPES	February 28, 2024
Certification date	February 28, 2024
Mailing address	Po Box 338, Grand Ronde, OR 97347-0338