COLUMBIA LUTHERAN CHARITIES
Osteopathic Medicine at Exchange St, Tongue Point, OR

License number
Oregon 14-1146
Category
Osteopathic Medicine
Type
Cardiovascular Disease
Owner
Name: WILLIAM G RIVERS
Title: CFO
Phone: (503) 338-7505
Address
Address
2158 Exchange St SUITE 206, Tongue Point, OR 97103
National Provider ID: 1629378880
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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COLUMBIA LUTHERAN CHARITIES

Tongue Point, OR

Industry:
Medical Doctor's Office
Registration:
Oct 8, 1958
Addresses:
2111 Exchange St, Astoria, OR 97103 (Mailing)
2265 Exchange St, Tongue Point, OR 97103
State ID:
6069512
Business type:
DOMESTIC NONPROFIT CORPORATION
Treasurers:
Heather Seppa (Vice-President),Bill Landwehr (Treasurer)
Agent:
Stephanie Brenden,2111 Exchange St, Astoria, OR 97103 (Physical)

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