Organization
COUNTY OF LINN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD NOBLE LPC (HEALTH ADMINISTRATOR)
(541) 924-6916
Entity
Organization
Contact information
Practice address
445 3RD AVE SW, ALBANY, OR 97321-2272
(541) 967-3866
(541) 928-3020
Mailing address
PO BOX 100, ALBANY, OR 97321-0031
(541) 967-3866
(541) 928-3020
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110072
—
OR
Enumeration date
10/02/2006
Last updated
05/04/2020
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