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Organization
BENTON COUNTY
Active
Organization
BENTON COUNTY
Active
Parent organization
BENTON COUNTY
Organization subpart
Yes
Provider details
NPI number
Legal business name
BENTON COUNTY
Authorized official
LACEY MOLLEL (HEALTH CENTER DIRECTOR)
(541) 766-6835
Entity
Organization
Contact information
Practice address
530 NW 27TH ST, CORVALLIS, OR 97330-5223
(541) 766-6637
Mailing address
530 NW 27TH ST, CORVALLIS, OR 97330-5223
(541) 766-6637
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3494
OR
Other
Enumeration date
03/15/2006
Last updated
05/01/2025
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