Organization
LIGHTHOUSE WELLNESS INSTITUTE INC
Active
Other names
Lighthouse Health and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL PATRICK BARTELL D.C. (OWNER)
(630) 205-9000
Entity
Organization
Contact information
Practice address
2182 BROADWAY AVE, NORTH BEND, OR 97459
(541) 808-9697
(541) 808-9699
Mailing address
2590 VIRGINIA AVE, NORTH BEND, OR 97459-1741
(630) 205-9000
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500748374
—
OR
Enumeration date
11/23/2018
Last updated
12/07/2018
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