Organization
LAKE HEALTH DISTRICT
Active
Other names
Lake Wound Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GORDON ENSLEY (CEO)
(541) 947-2114
Entity
Organization
Contact information
Practice address
670 COUNTY RD 83, CANBY, CA 96015
(541) 947-7299
(541) 947-3339
Mailing address
700 S J ST, LAKEVIEW, OR 97630-1623
(541) 947-7299
(541) 947-3339
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
14-0896
OR
Other
Enumeration date
02/06/2007
Last updated
08/22/2020
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