Organization
LAKE DISTRICT HEALTH
Active
Other names
N/A
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE HALL LARSEN (QMHA)
(541) 947-6021
Entity
Organization
Contact information
Practice address
215 N G ST, LAKEVIEW, OR 97630-1417
(547) 947-6021
Mailing address
215 N G ST, LAKEVIEW, OR 97630-1417
(547) 947-6021
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
OR
Other
Enumeration date
11/28/2017
Last updated
11/28/2017
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