# COLUMBIA LUTHERAN CHARITIES

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

## Provider details

- **NPI number:** 1902062672
- **Authorized official:** ERIK W THORSEN (COO)
- **Authorized official phone:** (503) 325-4321

## Contact information

- **Practice address:** 2120 EXCHANGE ST, SUITE 102, ASTORIA, OR 97103-3365
- **Practice address phone:** (503) 325-7888
- **Mailing address:** 2111 EXCHANGE ST, ASTORIA, OR 97103-3329
- **Mailing address phone:** (503) 325-4321

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 141146 | OR | Yes |

## Other

- **Enumeration date:** 08/01/2008
- **Last updated:** 08/01/2008