| Integrated Youthcare, Llc | |
|
673 Nw Jackson Ave Corvallis OR 97330-4832 | |
| (541) 230-1630 | |
| Not Available |
| Full Name | Integrated Youthcare, Llc |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 673 Nw Jackson Ave, Corvallis, Oregon |
| Authorized Official Name and Position | Ron Wiebe (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 5412301630 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Youthcare, Llc 673 Nw Jackson Ave Corvallis OR 97330-4832 Ph: (541) 230-1630 | Integrated Youthcare, Llc 673 Nw Jackson Ave Corvallis OR 97330-4832 Ph: (541) 230-1630 |
| NPI Number | 1881832095 |
|---|---|
| Provider Enumeration Date | 01/26/2009 |
| Last Update Date | 07/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881832095 | NPI | - | NPPES |
| 1245386440 | Other | OR | NPI |
| 1164568895 | Other | OR | NPI |
| 1881832095 | Other | OR | NPI |
| 1144439019 | Other | OR | NPI |
| 1285862938 | Other | OR | NPI |
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