Whalio Doctors

NPI 1083947972

Advanced Disability Services, INC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Corvallis, OR

Practice location

Address
7020 SW Country Club Dr, Corvallis, OR 97333-2615
Phone
(541) 929-7454

Authorised official

Name
Jason Bratsouleas
Title
Owner/Ceo
Phone
(541) 929-7454

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X Licence 90025176060909D (OR)

Registry record

NPI
1083947972
Entity type
Organization
NPI issued
10 Sep 2009
Record last updated
10 Sep 2009

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.