Organization
OLD MILL CENTER FOR CHILDREN AND FAMILIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERRIE TARKINTON (OPERATIONS MANAGER)
(541) 757-8068
Entity
Organization
Contact information
Practice address
1650 SW 45TH PL, CORVALLIS, OR 97333
(541) 757-8068
(541) 758-1030
Mailing address
1650 SW 45TH PL, CORVALLIS, OR 97333
(541) 757-8068
(541) 758-1030
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100172
STATE OF OREGON
OR
05
—
128715
—
OR
Enumeration date
10/26/2006
Last updated
03/18/2014
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