| NPI | 1245269315 |
|---|---|
| Doing Business As | LAKE ROAD HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | ADAM KEARL Health Centers CFO 503-742-5319 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| 302R00000X Health Maintenance Organization | |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2024-12-03 |