County of Lincoln

NPI #1942946934 in Waldport, Oregon

Provider Information

NPI Number: 1942946934
Entity Type: Organization
Organization Name: County of Lincoln
Subpart: Yes (part of a larger organization)
Parent Organization: COUNTY OF LINCOLN
Primary Specialty: Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date: May 11, 2022
Last Updated: Aug 8, 2025

Practice Location

Address: 525 N BAY ST
City: Waldport
State: Oregon
ZIP Code: 97394-9010
Phone: (541) 265-4947

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X
Clinic/Center - Primary Care — Primary Care	261QP2300X
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X	Primary

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