| Austin Millet Ph.d., LLC | |
|
1825 Nw Buchanan Ave Corvallis OR 97330-5756 | |
| (801) 921-0806 | |
| Not Available |
| Full Name | Austin Millet Ph.d., LLC |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1825 Nw Buchanan Ave, Corvallis, Oregon |
| Authorized Official Name and Position | Austin Millet (OWNER) |
| Authorized Official Contact | 8019210806 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Austin Millet Ph.d., LLC 1825 Nw Buchanan Ave Corvallis OR 97330-5756 Ph: (801) 921-0806 | Austin Millet Ph.d., LLC 1825 Nw Buchanan Ave Corvallis OR 97330-5756 Ph: (801) 921-0806 |
| NPI Number | 1063173540 |
|---|---|
| Provider Enumeration Date | 01/06/2022 |
| Last Update Date | 01/06/2022 |
| Certification Date | 01/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063173540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (NU) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (NU) | Primary |
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