| Pathfinder Clubhouse | |
|
250 Nw 1st St Ste 110 Corvallis OR 97330-4836 | |
| (458) 217-3041 | |
| (855) 962-2388 |
| Full Name | Pathfinder Clubhouse |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 250 Nw 1st St Ste 110, Corvallis, Oregon |
| Authorized Official Name and Position | Elizabeth Hazlewood (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4582173041 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathfinder Clubhouse Po Box 1414 Corvallis OR 97339-1414 Ph: (423) 463-9622 | Pathfinder Clubhouse 250 Nw 1st St Ste 110 Corvallis OR 97330-4836 Ph: (458) 217-3041 |
| NPI Number | 1225861446 |
|---|---|
| Provider Enumeration Date | 08/22/2024 |
| Last Update Date | 08/22/2024 |
| Certification Date | 08/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225861446 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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