| Carrie R Luke, Llc | |
|
1100 Southgate Ste 3 Pendleton OR 97801-3971 | |
| (541) 215-4440 | |
| (541) 429-4118 |
| Full Name | Carrie R Luke, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1100 Southgate Ste 3, Pendleton, Oregon |
| Authorized Official Name and Position | Tyler Patrick Johnson (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Contact | 5412154440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carrie R Luke, Llc 1100 Southgate Ste 3 Pendleton OR 97801-3971 Ph: (541) 215-4440 | Carrie R Luke, Llc 1100 Southgate Ste 3 Pendleton OR 97801-3971 Ph: (541) 215-4440 |
| NPI Number | 1215732813 |
|---|---|
| Provider Enumeration Date | 02/17/2025 |
| Last Update Date | 02/17/2025 |
| Certification Date | 02/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215732813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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