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Amy Lucason
Mental Illness Community Based Residential Treatment Facility in Corvallis, Oregon
NPI 1518471853

Amy Lucason is a Mental Illness Community Based Residential Treatment Facility based in Corvallis, OR. Amy Lucason practices in Corvallis, OR. The NPI Number for Amy Lucason is 1518471853 and holds a License No. (Oregon).

The current practice location address for Amy Lucason is 4455 Ne Highway 20, Corvallis, OR and can be reached out via phone at 541-757-5900.

Location: 4455 Ne Highway 20, Corvallis, OR, 97330-9695
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518471853
Provider Name
Amy Lucason
Credential
Provider Entity Type
Individual
Gender
Female
Address
4455 Ne Highway 20, Corvallis, OR, 97330-9695
Phone Number
541-757-5900
Fax Number
Provider Enumeration Date
11/22/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4455 Ne Highway 20
City
Corvallis
State
Oregon
Zip
97330-9695
Phone Number
541-757-5900
Fax Number
person
Provider Business Mailing Address Details
Address
4455 Ne Highway 20
City
Corvallis
State
Oregon
Zip
97330-9695
Phone Number
541-757-5900
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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