River Rock Family Practice PC
NPI 1184052136ActiveOrganization· Nurse Practitioner, Family· Grants Pass, OR
Nurse Practitioner, Family in Grants Pass, Oregon, registered in NPPES in October 2013. The authorized official on file is Tammy Harrison, Secretary. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1184052136 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 29, 2013 |
| Last updated in NPPES | Mar 7, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 200550153NP | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OR) |
|---|
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