Organization
LUTHERAN COMMUNITY SERVICES NORTHWEST
Active
Other names
LCSNW
Organization subpart
No
Provider details
NPI number
Authorized official
SHELIA CLARK (CREDENTIALING)
(541) 201-3973
Entity
Organization
Contact information
Practice address
435 NE EVANS ST STE A, MCMINNVILLE, OR 97128-4635
(503) 472-4020
(503) 472-8630
Mailing address
435 NE EVANS ST STE A, MCMINNVILLE, OR 97128-4635
(503) 472-4020
(503) 472-8630
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
05/24/2007
Last updated
02/13/2023
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