Organization
NORTH LAKE CLINIC LLC
Active
Other names
North Lake Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE GRIFFITHS FNP (CEO)
(541) 219-2623
Entity
Organization
Contact information
Practice address
87520 BAY RD., CHRISTMAS VALLEY, OR 97641
(541) 219-2623
Mailing address
PO BOX 765, CHRISTMAS VALLEY, OR 97641
(541) 219-2623
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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