institution
North Lake Clinic, Llc
Rural Health Clinic/Center in Christmas Valley, Oregon
NPI 1669607792

North Lake Clinic, Llc is a Rural Health Clinic/Center based in Christmas Valley, OR and is specialized in Rural Health. North Lake Clinic, Llc practices in Christmas Valley, OR. The NPI Number for North Lake Clinic, Llc is 1669607792 and holds a License No. MD07786 (Oregon).

The current practice location address for North Lake Clinic, Llc is 87520 Bay Rd, Christmas Valley, OR and can be reached out via phone at 541-576-2343 and via fax at 541-576-2869.

Location: 87520 Bay Rd, Christmas Valley, OR, 97641-0377
institution
Provider Profile Details
NPI Number
1669607792
Provider Name
North Lake Clinic, Llc
Credential
Provider Entity Type
Organization
Address
87520 Bay Rd, Christmas Valley, OR, 97641-0377
Phone Number
541-576-2343
Fax Number
541-576-2869
Provider Enumeration Date
05/19/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
080385000 01 BCBS OF OREGON
182817 05 OR
institution
Provider Business Practice Location Address Details
Address
87520 Bay Rd
City
State
Zip
97641-0377
Phone Number
541-576-2343
Fax Number
541-576-2869
person
Provider Business Mailing Address Details
Address
87520 Bay Rd
City
State
Zip
97641-0377
Phone Number
541-576-2343
Fax Number
541-576-2869
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
License No.
MD07786 (Oregon)
Definition
Definition to come...
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