| Benton County Drug Court | |
|
557 Nw Monroe Ave Corvallis OR 97330-4721 | |
| (541) 766-3540 | |
| (541) 766-3543 |
| Full Name | Benton County Drug Court |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 557 Nw Monroe Ave, 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 Drug Court Po Box 579 Corvallis OR 97339-0579 Ph: (541) 766-3540 | Benton County Drug Court 557 Nw Monroe Ave Corvallis OR 97330-4721 Ph: (541) 766-3540 |
| NPI Number | 1467512335 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 08/28/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467512335 | NPI | - | NPPES |
| 227701 | Medicaid | OR | |
| 039328000 | Other | REGENCE BCBS | |
| 700228501 | Other | REGENCE BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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