Organization
BENTON COUNTY
Active
Parent organization
BENTON COUNTY
Other names
Benton County Mental Health
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) 766-6835
(541) 766-6186
Mailing address
PO BOX 579, CORVALLIS, OR 97339-0579
(541) 766-6835
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
227701
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
039328000
REGENCE BCBS
—
05
—
227701
—
OR
01
—
700228501
REGENCE BCBS
—
Enumeration date
04/03/2006
Last updated
05/01/2025
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