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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