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

Four Rivers Healthcare Clinic

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1588999007

Four Rivers Healthcare Clinic is a Psychiatric/Mental Health Nurse Practitioner 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 100
Ontario, OR 97914-2155
Phone: (541) 889-2244
Fax: (541) 889-2626
Show map & directions

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 number1588999007
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jody Stark — President · (541) 889-2244
NPI enumeratedOctober 16, 2009
Last updated in NPPESOctober 16, 2009
Mailing address640 Sw 4th Ave, Ontario, OR 97914-2625

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