Elijah Luchmun
Case Manager/Care Coordinator in Vancouver, WA. Individual provider (NPI-1).
NPI number1245976141
StatusActive
Last updated in NPPESMay 12, 2022
Details
- NPI
- 1245976141
- Entity type
- Individual (NPI-1)
- Name
- Elijah Luchmun
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 12, 2022
- Certification date
- Apr 29, 2022
- Last updated
- May 12, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | WA | Yes |
Practice location
5197 Nw Lower River Rd.Vancouver, WA 98660
Phone 360-747-1308
Mailing address
146 Decatur DrKelso, WA 98626-1890
Phone 360-747-1308
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 168 Case Manager/Care Coordinator providers in Vancouver · All 12,887 providers in Vancouver
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