NPI 1093997710

Benton County

Organisation Federally Qualified Health Center (FQHC) Lebanon, OR

Practice location

Address: 100 Mullins Dr STE A1, Lebanon, OR 97355-2868
Phone: (541) 766-0200
Fax: (541) 766-6618
Mailing address: PO Box 579, Corvallis, OR 97339-0579

Authorised official

Name: Lacey Mollel
Title: Health Center Director
Phone: (541) 766-6835

Registered specialties

Federally Qualified Health Center (FQHC) Primary

Ambulatory Health Care Facilities Taxonomy 261QF0400X

Other Clinic/Center providers in Oregon →

Registry record

NPI: 1093997710
Entity type: Organization
NPI issued: 4 Dec 2007
Record last updated: 1 May 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.