Organization
COMMUNITY HEALTH CENTERS OF LANE COUNTY
Active
Other names
Riverstone Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LEORA ELLAN PETERSON RN (STAFF NURSE CARE MANAGER)
(541) 682-3550
Entity
Organization
Contact information
Practice address
2073 OLYMPIC ST, SPRINGFIELD, OR 97477-3413
(541) 682-3550
(541) 682-3551
Mailing address
2073 OLYMPIC ST, SPRINGFIELD, OR 97477-3413
(541) 682-3550
(541) 682-3551
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
09000270RN
OR
Other
Enumeration date
04/13/2015
Last updated
04/13/2015
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