Individual
AUTUMN JUSTINA HERRERA TRAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
530 NW 27TH ST, CORVALLIS, OR 97330-5223
(541) 766-6767
Mailing address
PO BOX 579, CORVALLIS, OR 97339-0579
(541) 766-6767
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
26-QMHA-R-8459
OR
Other
Enumeration date
06/22/2026
Last updated
06/22/2026
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