Organization
LUTHERAN COMMUNITY SERVICES NW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HEIDI PAGE PHD (MENTAL HEALTH COUNSELOR)
(541) 883-3471
Entity
Organization
Contact information
Practice address
2545 N ELDORADO AVE, KLAMATH FALLS, OR 97601-6423
(541) 883-3471
(541) 883-3524
Mailing address
2036 LEROY ST, KLAMATH FALLS, OR 97601-1876
(541) 883-3471
(541) 883-3524
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026825000
BCBS PROVIDER #
OR
05
—
090450
—
OR
05
—
164285
—
OR
Enumeration date
03/26/2007
Last updated
08/22/2020
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