Organization · Type 2 NPI
North Lake Clinic LLC
Family Nurse Practitioner · Christmas Valley, OR
NPI number
1396422960
Active
Practice location
87520 Bay Rd.
Christmas Valley, OR 97641
Mailing address
PO Box 765
Christmas Valley, OR 97641
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1396422960
North Lake Clinic LLC's National Provider Identifier is 1396422960, issued on Jul 5, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Christmas Valley, OR. The record was last updated on Jul 5, 2023.