| Organization Name: | THE CONFEDERATED TRIBES OF WARM SPRINGS RESERVATION OF OREGON |
| NPI Number: | 1902110968 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHARLES CALICA (SECRETARY/TREASURER) |
| Mailing Address: | 1270 Kot-num Rd Warm Springs |
| State: | OR US |
| Postal Code: | 97761 |
| Phone Number: | 5415531196 |
| Fax Number: | 5415531347 |
| NPI Enumeration Date: | 08/02/2010 |
| NPI Last Update Date: | 08/02/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |