Organization
COUNTY OF LINCOLN
Active
Other names
Lincoln County Public Health
Organization subpart
No
Provider details
NPI number
Authorized official
LESA WAGNER (CREDENTIALING)
(541) 265-0445
Entity
Organization
Contact information
Practice address
36 SW NYE ST, NEWPORT, OR 97365
(541) 265-6611
(541) 265-4194
Mailing address
36 SW NYE ST, NEWPORT, OR 97365-3821
(541) 265-0468
(541) 265-0443
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
261QP0905X
State or Local Public Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500836597
—
OR
Enumeration date
07/31/2009
Last updated
07/12/2024
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