County of Lincoln

NPI #1396071734 in Lincoln City, Oregon

Provider Information

NPI Number
1396071734
Entity Type
Organization
Organization Name
County of Lincoln
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Oct 20, 2009
Last Updated
Aug 8, 2025

Practice Location

Address
3780 SE SPY GLASS RIDGE DR
State
Oregon
ZIP Code
97367-1939
Phone
(541) 996-2311

Authorized Official

Name
LESA WAGNER
Title
CREDENTIALING SPECIALIST
Phone
(541) 265-0445

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Adolescent and Children Mental HealthAdolescent and Children Mental Health
Clinic/Center - Student HealthStudent Health
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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Provider Name
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