| Olalla Center | |
|
321 Se 3rd St Toledo OR 97391-1613 | |
| (541) 336-2254 | |
| (541) 336-1803 |
| Full Name | Olalla Center |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 321 Se 3rd St, Toledo, Oregon |
| Authorized Official Name and Position | Dakota Sierra Mcknight-todd (OFFICE MANAGER) |
| Authorized Official Contact | 5413362254 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Olalla Center 321 Se 3rd St Toledo OR 97391-1613 Ph: (541) 336-2254 | Olalla Center 321 Se 3rd St Toledo OR 97391-1613 Ph: (541) 336-2254 |
| NPI Number | 1013952829 |
|---|---|
| Provider Enumeration Date | 06/17/2006 |
| Last Update Date | 04/24/2020 |
| Certification Date | 04/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013952829 | NPI | - | NPPES |
| 297880 | Other | OR | OMAP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 106 (Oregon) | Secondary |