| Community Outreach, Inc | |
|
865 Nw Reiman Ave Corvallis OR 97330 | |
| (541) 758-3000 | |
| Not Available |
| Full Name | Community Outreach, Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 865 Nw Reiman Ave, Corvallis, Oregon |
| Authorized Official Name and Position | Richard Donovan (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5417583000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Outreach, Inc 865 Nw Reiman Avenue Corvallis OR 97330 Ph: (541) 758-3000 | Community Outreach, Inc 865 Nw Reiman Ave Corvallis OR 97330 Ph: (541) 758-3000 |
| NPI Number | 1235341918 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235341918 | NPI | - | NPPES |
| 228527 | Other | OR | OREGON HEALTH PLAN ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (Oregon) | Primary |
| 101YM0800X | Counselor - Mental Health | (Oregon) | Primary |
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