Organization
FRIENDS OF THE FAMILY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID M JACKSON MS, MAMFT (EXECUTIVE DIRECTOR)
(541) 757-1761
Entity
Organization
Contact information
Practice address
685 NW 5TH ST STE A, CORVALLIS, OR 97330-6462
(541) 757-1761
Mailing address
685 NW 5TH ST STE A, CORVALLIS, OR 97330-6462
(541) 757-1761
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
OR
Other
Enumeration date
03/14/2017
Last updated
07/21/2022
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