NORTH LAKE CLINIC, LLC
NPI 1669607792
Clinic/Center - Rural Health in Christmas Valley, OR

Active since May 19, 2009
87520 BAY RD, CHRISTMAS VALLEY, OR 97641(541) 576-2343(541) 576-2869 Get Directions Write a Review

NPPES record last updated: May 19, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About North Lake Clinic, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTH LAKE CLINIC, LLC (NPI 1669607792) is a healthcare organization registered as a rural health in Christmas Valley, Oregon and active in the NPI registry since May 2009. The organization lists Bruce D Carlson, Owner, as its authorized official.

NPPES Registry Identity

NPI1669607792
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameNORTH LAKE CLINIC, LLC
Location Address87520 BAY RDChristmas Valley, OR 97641-0377
Mailing AddressPo Box 377Christmas Valley, OR 97641-0377 · (541) 576-2343 · Fax (541) 576-2869
Fax(541) 576-2869
Organization SubpartNo
Authorized OfficialBruce D CarlsonOwner · (541) 576-2343
Enumeration DateMay 19, 2009
NPI 1669607792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License Licensed in OR · MD07786
87520 BAY RD, Christmas Valley, OR 97641

Other Identifiers 3

Other080385000Bcbs Of Oregon
Medicaid182817OR
Medicare PIN0000WCNHXOR

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center
87520 BAY RD, POB 377
CHRISTMAS VALLEY, OR 97641
Physician Assistant
87520 BAY RD
CHRISTMAS VALLEY, OR 97641
Nurse Practitioner (Family)
87520 BAY RD
CHRISTMAS VALLEY, OR 97641
Student in an Organized Health Care Education/Training Program
87520 BAY RD
CHRISTMAS VALLEY, OR 97641
Case Manager/Care Coordinator
87520 BAY RD
CHRISTMAS VALLEY, OR 97641
Peer Specialist
87520 BAY RD
CHRISTMAS VALLEY, OR 97641
Counselor (Mental Health)
87520 BAY RD
CHRISTMAS VALLEY, OR 97641

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is North Lake Clinic, LLC's NPI number?

The NPI number for North Lake Clinic, LLC is 1669607792. It was assigned to this organization in the NPPES registry on May 19, 2009.

Where is North Lake Clinic, LLC located?

North Lake Clinic, LLC is located at 87520 Bay Rd, Christmas Valley, OR 97641. The listed phone number is (541) 576-2343.

What is North Lake Clinic, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for North Lake Clinic, LLC was last updated on May 19, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.