Organization
LAKE HEALTH DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES BODELL TVEIT (CEO)
(541) 947-7307
Entity
Organization
Contact information
Practice address
700 SOUTH J ST, LAKEVIEW, OR 97630
(541) 947-2114
Mailing address
700 SOUTH J ST, LAKEVIEW, OR 97630
(541) 947-2114
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/28/2014
Last updated
01/21/2021
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