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Organization
LUTHERAN COMMUNITY SERVICES NORTHWEST
Active
Organization
LUTHERAN COMMUNITY SERVICES NORTHWEST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER VOGELAAR (DISTRICT DIRECTOR)
(503) 231-7480
Entity
Organization
Contact information
Practice address
605 SE CESAR E CHAVEZ BLVD, PORTLAND, OR 97214-3216
(503) 231-7480
(503) 731-9574
Mailing address
605 SE CESAR E CHAVEZ BLVD, PORTLAND, OR 97214-3216
(503) 231-7480
(503) 731-9574
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
OR
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111476
—
OR
05
—
500795562
—
OR
Enumeration date
08/04/2006
Last updated
05/16/2025
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