| Juvenile Department | |
|
4077 Sw Research Way Corvallis OR 97333-1065 | |
| (541) 766-6810 | |
| Not Available |
| Full Name | Juvenile Department |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 4077 Sw Research Way, 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 |
|---|---|
| Juvenile Department Po Box 579 Corvallis OR 97339-0579 Ph: (541) 766-6835 | Juvenile Department 4077 Sw Research Way Corvallis OR 97333-1065 Ph: (541) 766-6810 |
| NPI Number | 1730598038 |
|---|---|
| Provider Enumeration Date | 08/12/2014 |
| Last Update Date | 08/28/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730598038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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