Organization · Type 2 NPI

County of Lincoln

Federally Qualified Health Center (FQHC) · Waldport, OR

NPI number 1760718100 Active

Practice location

3000 S Crestline Dr
Waldport, OR 97394-9739

Call (541) 265-0471 Map

Fax (541) 650-5662

Mailing address

36 SW Nye St
Newport, OR 97365-3821

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed
Adolescent and Children Mental Health Clinic/Center	261QM0855X	None listed
Student Health Clinic/Center	261QS1000X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

Other federally qualified health center (fqhc) providers in Waldport

County of LincolnFederally Qualified Health Center (FQHC) Waldport, OR NPI 1942946934

See all in Waldport →

NPI record

NPI: 1760718100
Entity type: Organization (Type 2)
Issued: Oct 20, 2009
Last updated: Feb 24, 2026
Status: Active
Subpart: Yes of County of Lincoln

Other names

<unavail>
Lincoln County Health & Human Services · doing business as
Lincoln County School Based HC - Waldport · other name

Authorized official

Lesa Wagner
Credentialing Specialist
(541) 265-0445

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 1760718100

County of Lincoln's National Provider Identifier is 1760718100, issued on Oct 20, 2009. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Waldport, OR. The record was last updated on Feb 24, 2026.