| Lutheran Community Services Nw | |
|
2545 N Eldorado Ave Klamath Falls OR 97601-6423 | |
| (541) 883-3471 | |
| (541) 883-3524 |
| Full Name | Lutheran Community Services Nw |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 2545 N Eldorado Ave, Klamath Falls, Oregon |
| Authorized Official Name and Position | Heidi Page (MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 5418833471 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lutheran Community Services Nw 2036 Leroy St Klamath Falls OR 97601-1876 Ph: (541) 883-3471 | Lutheran Community Services Nw 2545 N Eldorado Ave Klamath Falls OR 97601-6423 Ph: (541) 883-3471 |
| NPI Number | 1396862074 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396862074 | NPI | - | NPPES |
| 090450 | Medicaid | OR | |
| 026825000 | Other | OR | BCBS PROVIDER # |
| 164285 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
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