|
| |
|
442 Nw 4th St Corvallis OR 97330-6491 | |
| (541) 738-6832 | |
| (541) 738-6410 |
| Full Name | |
|---|---|
| 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 |
|---|---|
442 Nw 4th St Corvallis OR 97330-6491 Ph: (541) 738-6832 | 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 |
Self Reflection Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 442 Nw 3rd St, Corvallis, OR 97330 Phone: 541-829-3971 Fax: 541-566-7164 | |
Erica D. Prince, Phd, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2945 Nw Mulkey Ave, Corvallis, OR 97330 Phone: 541-753-8684 Fax: 541-752-0906 | |
Meristem Counseling Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 257 Sw Madison Ave Ste 206, Corvallis, OR 97333 Phone: 206-397-6066 | |
Bravery Therapy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 570 Sw Wake Robin Ave, Corvallis, OR 97333 Phone: 541-948-5575 | |
Austin Millet Ph.d., Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1825 Nw Buchanan Ave, Corvallis, OR 97330 Phone: 801-921-0806 | |
Sr Plus Behavior Consultants Of Pacific Northwest Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3715 Ne Highway 20, Corvallis, OR 97330 Phone: 303-880-3745 | |
Children's Farm Home Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4455 Ne Highway 20, Corvallis, OR 97330 Phone: 541-757-1852 |