Organization
LA PINE COMMUNITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE MANES (COO)
(541) 536-3435
Entity
Organization
Contact information
Practice address
51615 BLUEWOOD AVE STE 120, LA PINE, OR 97739-9211
(541) 536-3435
Mailing address
51600 HUNTINGTON RD # 101, LA PINE, OR 97739-8887
(541) 536-3435
(541) 536-1040
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
261QR0206X
Mammography Clinic/Center
—
—
Other
Enumeration date
09/17/2024
Last updated
10/18/2024
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