Confederated Tribes Of The Grand Ronde Community Of Oregon
Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy
9605 Grand Ronde Rd, Grand Ronde
Oregon, 97347-9712
503-879-2236 503-879-5089
Confederated Tribes Of The Grand Ronde Community Of Oregon is a Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy in Grand Ronde, Oregon. It is located at 9605 Grand Ronde Rd, Grand Ronde and it's customer support contact number is 503-879-2236. The authorized person of Confederated Tribes Of The Grand Ronde Community Of Oregon is Kelly D Rowe who is Executive Director Health Services of the pharmacy and his contact number is 503-879-2075. Confederated Tribes Of The Grand Ronde Community Of Oregon accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Confederated Tribes Of The Grand Ronde Community Of Oregon is an Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.
Pharmacy Details:
Confederated Tribes Of The Grand Ronde Community Of Oregon type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Confederated Tribes Of The Grand Ronde Community Of Oregon |
| Type: | Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy |
| Location: | 9605 Grand Ronde Rd, Grand Ronde,
Oregon, 97347-9712 |
| Phone: | 503-879-2236 |
| Fax: | 503-879-5089 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Kelly D Rowe |
| Position: | Executive Director Health Services |
| Contact Number: | 503-879-2075 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1174666358 |
| NPI Enumeration Date: | 15 Feb, 2007 |
| NPI Last Update On: | 28 Feb, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Confederated Tribes Of The Grand Ronde Community Of Oregon are as mentioned below.
| Specialization | License Number | State | Status | |
| Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy | | | Primary | |
| Optometrist | | | Secondary | |
| General Practice | | | Secondary | |
| Community Health | | | Secondary | |
| Federally Qualified Health Center (FQHC) | 126883 | Oregon | Secondary | |
| Radiology | 445142 | Oregon | Secondary | |
| Clinical Medical Laboratory | 38D0862855 | Oregon | Secondary | |
| Counselor | | | Secondary | |
| Addiction (Substance Use Disorder) | | | Secondary | |
| Chiropractor | | | Secondary | |
| General Practice | | | Secondary | |
| Pharmacy | 1559 | Oregon | Secondary | |
| Family | | | Secondary | |
| Primary Care | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 500786332 | Medicaid | Oregon | |
Medicare Enrollment:
Confederated Tribes Of The Grand Ronde Community Of Oregon is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 6103717277 | O20040320000494 | Confederated Tribes Of Grand Ronde Community Of Oregon | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 338,
Grand Ronde, Oregon |
| Zip: | 97347-0338 |
| Phone Number: | 503-879-2236 |
| Fax Number: | 503-879-5089 |
Patients can reach Confederated Tribes Of The Grand Ronde Community Of Oregon at
9605 Grand Ronde Rd, Grand Ronde, Oregon or can
call on customer care at 503-879-2236.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.