Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
LUTHERAN COMMUNITY SERVICES NORTHWEST
Active
Organization
LUTHERAN COMMUNITY SERVICES NORTHWEST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELIA CLARK (CREDENTIALING)
(541) 201-3973
Entity
Organization
Contact information
Practice address
2545 N ELDORADO AVE, KLAMATH FALLS, OR 97601-6423
(541) 883-3471
(541) 883-3524
Mailing address
2545 N ELDORADO AVE, KLAMATH FALLS, OR 97601-6423
(541) 883-3471
(541) 883-3524
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026825000
BCBS PROVIDER #
OR
05
—
090450
—
OR
Enumeration date
03/26/2007
Last updated
05/16/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up