# CARRIE R LUKE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215732813
- **Authorized official:** MR. TYLER PATRICK JOHNSON (ADMINISTRATIVE ASSISTANT)
- **Authorized official phone:** (541) 215-4440

## Contact information

- **Practice address:** 1100 SOUTHGATE STE 3, PENDLETON, OR 97801-3971
- **Practice address phone:** (541) 215-4440
- **Practice address fax:** (541) 429-4118
- **Mailing address:** 1100 SOUTHGATE STE 3, PENDLETON, OR 97801-3971
- **Mailing address phone:** (541) 215-4440
- **Mailing address fax:** (541) 429-4118

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 02/17/2025
- **Last updated:** 02/17/2025