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

St Lukes Clinic-Treasure Valley LLC

Organization Family Medicine Physician · NPI 1336442607

St Lukes Clinic-Treasure Valley LLC is a Family Medicine Physician 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
Show map & directions

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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