NPI 1003362922
Mid-Valley Healthcare, INC.
Practice location
- Address
- 100 Mullins Dr STE C1, Lebanon, OR 97355-2868
- Phone
- (541) 451-7450
Authorised official
- Name
- Daniel Rackham
- Title
- Ceo-Slch
- Phone
- (541) 768-6768
Registered specialties (4)
Addiction Medicine (Family Medicine) Physician
Primary
Addiction (Substance Use Disorder) Counselor
Clinical Social Worker
Addiction Medicine (Psychiatry & Neurology) Physician
Registry record
- NPI
- 1003362922
- Entity type
- Organization
- NPI issued
- 31 Aug 2016
- Record last updated
- 13 Feb 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.