| Children's Farm Home | |
|
4455 Ne Highway 20 Corvallis OR 97330-9695 | |
| (541) 757-1852 | |
| Not Available |
| Full Name | Children's Farm Home |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 4455 Ne Highway 20, Corvallis, Oregon |
| Authorized Official Name and Position | Eric Stephen Sirak (CATS1) |
| Authorized Official Contact | 5414098666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Farm Home 31490 Rabbit Run Ln Lebanon OR 97355-8920 Ph: () - | Children's Farm Home 4455 Ne Highway 20 Corvallis OR 97330-9695 Ph: (541) 757-1852 |
| NPI Number | 1104022649 |
|---|---|
| Provider Enumeration Date | 06/22/2007 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104022649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (Oregon) | Primary |
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