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Organization

LUTHERAN COMMUNITY SERVICES NW

Active
Other names
Lake County Mental Health
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT PICKEL (DIRECTOR)
(541) 883-3471
Entity
Organization

Contact information

Practice address
526 CENTER ST, LAKEVIEW, OR 97630-1518
(541) 947-6021
(541) 947-6020
Mailing address
526 CENTER ST, LAKEVIEW, OR 97630-1518
(541) 947-6021
(541) 947-6020

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
123195
OR
05
193896
OR
Enumeration date
03/07/2007
Last updated
08/22/2020
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