| Cascade Pathways, Llc | |
|
344 Nw 6th St Corvallis OR 97330-4814 | |
| (541) 954-7077 | |
| (888) 505-1903 |
| Full Name | Cascade Pathways, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 344 Nw 6th St, Corvallis, Oregon |
| Authorized Official Name and Position | Hal Clifford Darst (DIRECTOR) |
| Authorized Official Contact | 5419547077 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cascade Pathways, Llc 344 Nw 6th St Corvallis OR 97330-4814 Ph: (541) 954-7077 | Cascade Pathways, Llc 344 Nw 6th St Corvallis OR 97330-4814 Ph: (541) 954-7077 |
| NPI Number | 1851596001 |
|---|---|
| Provider Enumeration Date | 06/18/2007 |
| Last Update Date | 09/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851596001 | NPI | - | NPPES |
| 500664843 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 99-11-61 (Oregon) | Primary |
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