NPI 1306315056

Lighthouse Wellness Institute INC

Organisation Health Service Clinic/Center North Bend, OR

Practice location

Address: 2182 Broadway Ave, North Bend, OR 97459
Phone: (541) 808-9697
Fax: (541) 808-9699
Mailing address: 2590 Virginia Ave, North Bend, OR 97459-1741

Authorised official

Name: Michael Patrick Bartell
Title: Owner
Phone: (630) 205-9000

Registered specialties

Health Service Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QH0100X

Other Clinic/Center providers in Oregon →

Registry record

NPI: 1306315056
Entity type: Organization
NPI issued: 23 Nov 2018
Record last updated: 7 Dec 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.