| Boardman Medical Clinic | |
|
101 Kincaid Rd Boardman OR 97818 | |
| (541) 481-2900 | |
| (541) 481-2191 |
| Full Name | Boardman Medical Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 101 Kincaid Rd, Boardman, Oregon |
| Authorized Official Name and Position | Julie Baker (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Contact | 5416762935 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boardman Medical Clinic Po Box 9 Heppner OR 97836-0009 Ph: (541) 676-2942 | Boardman Medical Clinic 101 Kincaid Rd Boardman OR 97818 Ph: (541) 481-2900 |
| NPI Number | 1457273112 |
|---|---|
| Provider Enumeration Date | 07/27/2026 |
| Last Update Date | 07/27/2026 |
| Certification Date | 07/08/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457273112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | () | Primary |
Columbia River Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 450 Tatone St, Boardman, OR 97818 Phone: 541-481-7212 Fax: 541-481-2020 |