Lutheran Community Services Nw | |
1199 B Ave Terrebonne OR 97760-9440 | |
(541) 504-3829 | |
(541) 548-5889 |
Full Name | Lutheran Community Services Nw |
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Speciality | Counselor - Mental Health |
Location | 1199 B Ave, Terrebonne, Oregon |
Authorized Official Name and Position | Daniel Johnston (CONTRACT AND GRANT ADMINISTRATOR) |
Authorized Official Contact | 2068163223 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lutheran Community Services Nw 2545 N Eldorado Ave Klamath Falls OR 97601-6423 Ph: (541) 883-3471 | Lutheran Community Services Nw 1199 B Ave Terrebonne OR 97760-9440 Ph: (541) 504-3829 |
NPI Number | 1932741550 |
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Provider Enumeration Date | 10/15/2019 |
Last Update Date | 10/15/2019 |
Identifier | Type | State | Issuer |
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1932741550 | NPI | - | NPPES |
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