Organization
MIGHTY OAKS CHILDREN'S THERAPY CENTER
Active
Other names
Mighty Oaks Developmental Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMI M WALTERS M.O.T. (EXECUTIVE DIRECTOR)
(541) 967-7551
Entity
Organization
Contact information
Practice address
3615 SPICER DR SE, ALBANY, OR 97322-7043
(541) 967-7551
(541) 967-5095
Mailing address
3615 SPICER DR SE, ALBANY, OR 97322-7043
(541) 967-7551
(541) 967-5095
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7008454
BLUE CROSS BLUE SHIELD
OR
Enumeration date
03/02/2007
Last updated
09/11/2025
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