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Mr. Marco Gonzalez-kensler
Mental Illness Community Based Residential Treatment Facility in Corvallis, Oregon
NPI 1760754873

Marco Gonzalez-kensler is a Mental Illness Community Based Residential Treatment Facility based in Albany, OR. Marco Gonzalez-kensler practices in Corvallis, OR. The NPI Number for Marco Gonzalez-kensler is 1760754873 and holds a License No. (Oregon).

The current practice location address for Marco Gonzalez-kensler is 4455 Ne Highway 20, Corvallis, OR and can be reached out via phone at 541-758-5900.

Location: 4455 Ne Highway 20, Corvallis, OR, 97321-4725
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760754873
Provider Name
Marco Gonzalez-kensler
Credential
Provider Entity Type
Individual
Gender
Male
Address
4455 Ne Highway 20, Corvallis, OR, 97321-4725
Phone Number
541-758-5900
Fax Number
Provider Enumeration Date
02/04/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4455 Ne Highway 20
City
Corvallis
State
Oregon
Zip
97330-9695
Phone Number
541-758-5900
Fax Number
person
Provider Business Mailing Address Details
Address
4455 Ne Highway 20
City
Corvallis
State
Oregon
Zip
97330-9695
Phone Number
541-758-5900
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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