# COMMUNITY HEALTH CENTERS OF LANE COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Riverstone Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750777025
- **Authorized official:** MS. LEORA ELLAN PETERSON RN (STAFF NURSE CARE MANAGER)
- **Authorized official phone:** (541) 682-3550

## Contact information

- **Practice address:** 2073 OLYMPIC ST, SPRINGFIELD, OR 97477-3413
- **Practice address phone:** (541) 682-3550
- **Practice address fax:** (541) 682-3551
- **Mailing address:** 2073 OLYMPIC ST, SPRINGFIELD, OR 97477-3413
- **Mailing address phone:** (541) 682-3550
- **Mailing address fax:** (541) 682-3551

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | 09000270RN | OR | Yes |

## Other

- **Enumeration date:** 04/13/2015
- **Last updated:** 04/13/2015