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

Village Healthcare of La Grande, Inc

Organization Clinic/Center · NPI 1154555076

Village Healthcare of La Grande, Inc is a Clinic/Center in Corvallis, Oregon. Licensed in Oregon. Registered with an NPI since 2009.

Licensed in
OR
In the registry since
2009
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

656 NW Mirador Pl
Corvallis, OR 97330-4698
Phone: (541) 624-2040
Fax: (503) 200-2258
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence 200450130NP (OR)
Point of Service Taxonomy 305S00000X

Record details

NPI number1154555076
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Renee Edwards — Manager Provider President · (541) 552-0386
Other names Village Healthcare Of Corvallis
NPI enumeratedMay 6, 2009
Last updated in NPPESNovember 19, 2019
Mailing address656 Nw Mirador Pl, Corvallis, OR 97330-4698

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