Organization · Type 2 NPI

Lighthouse Wellness Institute Inc

Health Service Clinic/Center · North Bend, OR

NPI number 1306315056 Active

Practice location

2182 Broadway Ave
North Bend, OR 97459

Call (541) 808-9697 Map

Fax (541) 808-9699

Mailing address

2590 Virginia Ave
North Bend, OR 97459-1741

Other practice locations

2590 Virginia Ave, North Bend, OR 97459-1741 · (630) 205-9000

Specialties and licenses

Taxonomy	Code	License
Health Service Clinic/Center Primary	261QH0100X	None listed

Health Service Clinic/Center: Definition to come...

NPI record

NPI: 1306315056
Entity type: Organization (Type 2)
Issued: Nov 23, 2018
Last updated: Dec 7, 2018
Status: Active

Other names

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Lighthouse Health and Wellness · doing business as
Lighthouse Health and Wellness · doing business as

Authorized official

Dr. Michael Patrick Bartell, DC
Owner
(630) 205-9000

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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 1306315056

Lighthouse Wellness Institute Inc's National Provider Identifier is 1306315056, issued on Nov 23, 2018. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in North Bend, OR. The record was last updated on Dec 7, 2018.