Lukedorf

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

RN Issued in OR

Legal business name

LUKEDORF

Practice address

8915 SW Center St
Tigard, OR 97223-6307

Phone

(503) 726-3690

Fax

(503) 726-3691

NPI assigned

Jan 12, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Toby Cowell

Title

HR

Phone

(503) 726-3690

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1484179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1457897548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8915 SW CENTER ST",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972236307",
            "telephone_number": "503-726-3690",
            "fax_number": "503-726-3691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8915 SW CENTER ST",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972236307",
            "telephone_number": "503-726-3690",
            "fax_number": "503-726-3691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUKEDORF",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "COWELL",
        "authorized_official_first_name": "TOBY",
        "authorized_official_title_or_position": "HR",
        "authorized_official_telephone_number": "503-726-3690",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "OR",
            "license": "RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Minmin Lu
• Shannon Isabel Lubben, M.A.
• Larry C Lubcke, D.C., D.A.B.C.O.
• Tanya M Lubkin, DO
• Hang Khanh Luc, RDH
• Gabriela Lule-Juarez, LCSW
• Lisa Rose Lundin, RPH
• Naila Lundstrom, LCSW
• Corrigan Ann Luther, BCBA, LBA
• Luxottica of America Inc

• Community Health Clinic/Center in Tigard, OR
• Providers in Tigard, OR by specialty
• Community Health Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.