| Milestones Family Recovery | |
|
442 Nw 4th St Corvallis OR 97330-6491 | |
| (541) 738-6832 | |
| (541) 738-6410 |
| Full Name | Milestones Family Recovery |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 442 Nw 4th St, Corvallis, Oregon |
| Authorized Official Name and Position | Michael S. Hanson (OUTPATIENT PROGRAM MANAGER) |
| Authorized Official Contact | 5417577534 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Milestones Family Recovery 442 Nw 4th St Corvallis OR 97330-6491 Ph: (541) 738-6832 | Milestones Family Recovery 442 Nw 4th St Corvallis OR 97330-6491 Ph: (541) 738-6832 |
| NPI Number | 1114067410 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 03/23/2021 |
| Certification Date | 03/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114067410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | A-159 (Oregon) | Primary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Secondary |
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