Organization
COMMUNITY OUTREACH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD DONOVAN (EXECUTIVE DIRECTOR)
(541) 758-3000
Entity
Organization
Contact information
Practice address
865 NW REIMAN AVE, CORVALLIS, OR 97330
(541) 758-3000
Mailing address
865 NW REIMAN AVENUE, CORVALLIS, OR 97330
(541) 758-3000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
OR
101YM0800X
Mental Health Counselor
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
228527
OREGON HEALTH PLAN ID
OR
Enumeration date
05/04/2007
Last updated
09/11/2025
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