Organization
COLUMBIA LUTHERAN CHARITIES
Active
Other names
CMH Astoria Primary Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY KAE THOMAS (REVENUE CYCLE DIRECTOR)
(503) 338-4027
Entity
Organization
Contact information
Practice address
2158 EXCHANGE ST STE 107, ASTORIA, OR 97103-3316
(503) 338-4675
(503) 338-4676
Mailing address
2111 EXCHANGE ST, ASTORIA, OR 97103-3329
(503) 325-4321
(503) 338-7585
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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