Organization
OREGON LIGHTNING YOUTH INITIATIVE INCORPORATED
Active
Organization
OREGON LIGHTNING YOUTH INITIATIVE INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GWENDOLYN NICOLE PEELER (DIRECTOR OF ADMINISTRATION)
(214) 972-7781
Entity
Organization
Contact information
Practice address
616 SW EVERGREEN AVE, REDMOND, OR 97756-2240
(971) 227-6815
Mailing address
521 SW 6TH ST STE 100, REDMOND, OR 97756-2702
(971) 227-6815
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/25/2025
Last updated
11/25/2025
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