Organization · Type 2 NPI

Lutheran Community Services NW

Mental Health Counselor · Bend, OR

NPI number 1093074882 Active

Practice location

2330 NE Division St Ste 9B
Bend, OR 97703-3530

Call (541) 323-5333 Map

Fax (541) 323-5854

Mailing address

2545 N Eldorado Ave
Klamath Falls, OR 97601-6423

Specialties and licenses

Taxonomy	Code	License
Addiction (Substance Use Disorder) Counselor	101YA0400X	None listed
Mental Health Counselor Primary	101YM0800X	None listed
Community/Behavioral Health Agency	251S00000X	None listed
Preferred Provider Organization	305R00000X	None listed

Mental Health Counselor: Definition to come...

3 other providers at this address

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NPI record

NPI: 1093074882
Entity type: Organization (Type 2)
Issued: May 14, 2012
Last updated: Oct 15, 2019
Status: Active
Subpart: Yes of Lutheran Community Services NW

Other names

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Lutheran Community Services NW - Bend · other name
Lutheran Community Services NW - Bend · other name

Authorized official

Daniel Johnston
Contract and Grant Administrator
(206) 816-3223

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1093074882

Lutheran Community Services NW's National Provider Identifier is 1093074882, issued on May 14, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bend, OR. The record was last updated on Oct 15, 2019.