Organization
HOPE HOUSE OF LUTHERAN COMMUNITY SERVICES NW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY E LANGSTON PHD, LPC, CADCIII (MANAGER)
(503) 325-6754
Entity
Organization
Contact information
Practice address
3107 GRAND AVENUE, ASTORIA, OR 97103-2729
(503) 325-6754
(503) 325-1088
Mailing address
3107 GRAND AVENUE, ASTORIA, OR 97103-2729
(503) 325-6754
(503) 325-1088
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
—
OR
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
089299000
REGENCE BLUE CROSS
OR
01
—
174029174029
LIFEWISE INSURANCE
OR
01
—
578168000
MAGELLAN HEALTH SERVICES
OR
01
—
6860-MA
PACIFICARE BEHAVIORAL HEA
OR
01
—
A023
TRICARE
OR
01
—
J4525-01
PACIFIC SOURCE INSURANCE
OR
Enumeration date
03/26/2007
Last updated
07/21/2022
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