BENTON COUNTY

NPI # 

Practice Address:

530 Nw 27Th St

Corvallis, OR, 97330-5223

Practice Phone:

541-766-6835

Practice Fax:

541-766-6186

License Number:

227701

License State:

OR

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Mental Health (Including Community Mental Health Center)

Taxonomy Code:

261QM0801X