| Benton County | |
|
530 Nw 27th St Corvallis OR 97330-5223 | |
| (541) 766-6637 | |
| Not Available |
| Full Name | Benton County |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 530 Nw 27th St, Corvallis, Oregon |
| Authorized Official Name and Position | Sherlyn Dahl (HEALTH CENTER DIRECTOR) |
| Authorized Official Contact | 5417662131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Benton County 530 Nw 27th St Corvallis OR 97330-5223 Ph: (541) 766-6637 | Benton County 530 Nw 27th St Corvallis OR 97330-5223 Ph: (541) 766-6637 |
| NPI Number | 1144299934 |
|---|---|
| Provider Enumeration Date | 03/15/2006 |
| Last Update Date | 08/28/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144299934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 3494 (Oregon) | Primary |
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