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Organization

LUTHERAN COMMUNITY SERVICES NORTHWEST

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SALAH ANSARY (REGIONAL DIRECTOR)
(503) 231-7480
Entity
Organization

Contact information

Practice address
605 SE 39TH AVE, PORTLAND, OR 97214-3216
(503) 231-7480
(503) 233-0667
Mailing address
605 SE 39TH AVE, PORTLAND, OR 97214-3216
(503) 231-7480
(503) 233-0667

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
08/26/2009
Last updated
08/26/2009
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