# BENTON COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BENTON COUNTY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1144299934
- **Legal business name:** BENTON COUNTY
- **Authorized official:** LACEY MOLLEL (HEALTH CENTER DIRECTOR)
- **Authorized official phone:** (541) 766-6835

## Contact information

- **Practice address:** 530 NW 27TH ST, CORVALLIS, OR 97330-5223
- **Practice address phone:** (541) 766-6637
- **Mailing address:** 530 NW 27TH ST, CORVALLIS, OR 97330-5223
- **Mailing address phone:** (541) 766-6637

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 3494 | OR | Yes |

## Other

- **Enumeration date:** 03/15/2006
- **Last updated:** 05/01/2025