Organization
COLUMBIA LUTHERAN CHARITIES
Active
Other names
CMH Urology Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ERIK W THORSEN (COO)
(503) 325-4321
Entity
Organization
Contact information
Practice address
2120 EXCHANGE ST, SUITE 102, ASTORIA, OR 97103-3365
(503) 325-7888
Mailing address
2111 EXCHANGE ST, ASTORIA, OR 97103-3329
(503) 325-4321
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
141146
OR
Other
Enumeration date
08/01/2008
Last updated
08/01/2008
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