Organization
LUTHERAN COMMUNITY SERVICES NORTHWEST
Active
Parent organization
LUTHERAN COMMUNITY SERVICES NORTHWEST
Organization subpart
Yes
Provider details
NPI number
Legal business name
LUTHERAN COMMUNITY SERVICES NORTHWEST
Authorized official
ROBERTA NESTAAS (PRESIDENT/CEO)
(206) 901-1685
Entity
Organization
Contact information
Practice address
3600 MAIN ST, SUITE 200, VANCOUVER, WA 98663-2236
(360) 694-5624
Mailing address
4040 S 188TH ST, SEATAC, WA 98188-5070
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
289
WA
Other
Enumeration date
07/31/2013
Last updated
07/31/2013
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