NPI 1134932551
Benton County
Practice location
- Address
- 240 NW 4th St, Corvallis, OR 97330-4805
- Phone
- (541) 766-6835
- Fax
- (541) 766-6164
- Mailing address
- PO Box 579, Corvallis, OR 97339-0579
Authorised official
- Name
- Lacey Mollel
- Title
- Health Department Director
- Phone
- (541) 766-6835
Registered specialties (3)
Respite Care
Primary
Mental Health Clinic/Center (Including Community Mental Health Center)
Mental Illness Community Based Residential Treatment Facility
Registry record
- NPI
- 1134932551
- Entity type
- Organization
- NPI issued
- 29 Jan 2025
- 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.