OrganizationActive
North Lake Clinic, LLC
NPI 1669607792 · Rural Health Clinic/Center · Christmas Valley, OR
Provider details
- NPI number
- 1669607792
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Bruce Carlson, Owner(541) 576-2343
- License
- MD07786 (OR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
87520 Bay Rd
Christmas Valley, OR 97641-0377
Phone: (541) 576-2343
Fax: (541) 576-2869
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 377
Christmas Valley, OR 97641-0377
Registry dates
- Enumerated
- 2009-05-19
- Last updated
- 2009-05-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.