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CLATSOP COUNTY CHILD ABUSE ASSESSMENT CENTER NPI 1942323480


NPI Information

NPI: 1942323480
Provider Name: CLATSOP COUNTY CHILD ABUSE ASSESSMENT CENTER

Doing Business As: THE LIGHTHOUSE FOR KIDS

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 38D2025809

Address:
1230 MARINE DR
SUITE 301
ASTORIA, OR
ZIP 97103
Phone: (503) 325-4977
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CLATSOP COUNTY CHILD ABUSE ASSESSMENT CENTER is a clinic center in Astoria, OR. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). CLATSOP COUNTY CHILD ABUSE ASSESSMENT CENTER NPI is 1942323480. The provider is registered as an organization entity type.
The provider Is Doing Business As The Lighthouse For Kids.

The provider's business location address is:

1230 MARINE DR
SUITE 301
ASTORIA, OR
ZIP 97103-059
Phone: (503) 325-4977
Fax: (503) 325-4765

The provider's authorized official is Sarah D Alsbury .
The authorized official title is Billing and has the following contact phone number (503) 325-4977.

The CLIA number assigned to this NPI record is 38D2025809 - other - county jail with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/9/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1292780MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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