Columbian Lutheran Charities

NPI #1588090393 in Warrenton, Oregon

Provider Information

NPI Number
1588090393
Entity Type
Organization
Organization Name
Columbian Lutheran Charities
Primary Specialty
Clinic/Center
Enumeration Date
Sep 25, 2013
Last Updated
Sep 25, 2013

Practice Location

Address
1639 SE ENSIGN LN
Address 2
SUITE B103
State
Oregon
ZIP Code
97146-7308
Phone
(503) 338-4500

Authorized Official

Name
KENNETH BOUCHER
Title
COO
Phone
(503) 338-5763

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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