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Organization
LUTHERAN COMMUNITY SERVICES NW
Active
Organization
LUTHERAN COMMUNITY SERVICES NW
Active
Parent organization
LUTHERAN COMMUNITY SERVICES NW
Other names
Lutheran Community Services NW - Bend
Organization subpart
Yes
Provider details
NPI number
Legal business name
LUTHERAN COMMUNITY SERVICES NW
Authorized official
DANIEL JOHNSTON (CONTRACT AND GRANT ADMINISTRATOR)
(206) 816-3223
Entity
Organization
Contact information
Practice address
2330 NE DIVISION ST STE 9B, BEND, OR 97703-3530
(541) 323-5333
(541) 323-5854
Mailing address
2545 N ELDORADO AVE, KLAMATH FALLS, OR 97601-6423
(541) 883-3471
(541) 883-3524
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
305R00000X
Preferred Provider Organization
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093074882
NPI NUMBER
OR
05
—
283234
—
OR
05
—
500674445
—
OR
Enumeration date
05/14/2012
Last updated
10/15/2019
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