Organization
CORVALLIS HOMELESS SHELTER COALITION
Active
Other names
Corvallis Housing First
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA MYHRE (EXECUTIVE DIRECTOR)
(541) 602-8502
Entity
Organization
Contact information
Practice address
2311 NW VAN BUREN AVE, CORVALLIS, OR 97330-5399
(541) 230-1297
(541) 368-3902
Mailing address
2311 NW VAN BUREN AVE APT 5, CORVALLIS, OR 97330-5393
(541) 230-1297
(541) 368-3902
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
175T00000X
Peer Specialist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
435001-98
—
OR
Enumeration date
04/23/2018
Last updated
01/11/2024
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