Organization
DO NOT USE
Active
Other names
Lincoln County Health & Human Services
Organization subpart
No
Provider details
NPI number
Authorized official
LESA WAGNER (CREDENTIALING SPECIALIST)
(541) 265-0445
Entity
Organization
Contact information
Practice address
36 SW NYE ST, NEWPORT, OR 97365
(541) 265-4190
(541) 574-6252
Mailing address
36 SW NYE ST, NEWPORT, OR 97365-3821
(541) 265-0468
(541) 265-0443
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/20/2012
Last updated
09/02/2025
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