| Lutheran Community Services Northwest | |
|
3600 Main St Suite 200 Vancouver WA 98663-2236 | |
| (360) 694-5624 | |
| Not Available |
| Full Name | Lutheran Community Services Northwest |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3600 Main St, Vancouver, Washington |
| Authorized Official Name and Position | Roberta Nestaas (PRESIDENT/CEO) |
| Authorized Official Contact | 2069011685 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lutheran Community Services Northwest 4040 S 188th St Seatac WA 98188-5070 Ph: () - | Lutheran Community Services Northwest 3600 Main St Suite 200 Vancouver WA 98663-2236 Ph: (360) 694-5624 |
| NPI Number | 1700218815 |
|---|---|
| Provider Enumeration Date | 07/31/2013 |
| Last Update Date | 07/31/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700218815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 289 (Washington) | Primary |
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