BENTON COUNTY

NPI # 

Practice Address:

100 Mullins Dr Ste A1

Lebanon, OR, 97355-2868

Practice Phone:

541-766-0200

Practice Fax:

541-766-6618

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Federally Qualified Health Center (FQHC)

Taxonomy Code:

261QF0400X