| Old Mill Center For Children And Families | |
|
1650 Sw 45th Pl Corvallis OR 97333 | |
| (541) 757-8068 | |
| (541) 758-1030 |
| Full Name | Old Mill Center For Children And Families |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1650 Sw 45th Pl, Corvallis, Oregon |
| Authorized Official Name and Position | Kerrie Tarkinton (OPERATIONS MANAGER) |
| Authorized Official Contact | 5417578068 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Old Mill Center For Children And Families 1650 Sw 45th Pl Corvallis OR 97333 Ph: (541) 757-8068 | Old Mill Center For Children And Families 1650 Sw 45th Pl Corvallis OR 97333 Ph: (541) 757-8068 |
| NPI Number | 1285719195 |
|---|---|
| Provider Enumeration Date | 10/26/2006 |
| Last Update Date | 03/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285719195 | NPI | - | NPPES |
| 128715 | Medicaid | OR | |
| 100172 | Other | OR | STATE OF OREGON |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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