institution
Benton County
Federally Qualified Health Center (FQHC) in Corvallis, Oregon
NPI 1982764882

Benton County is a Federally Qualified Health Center (FQHC) based in Corvallis, OR and is specialized in Federally Qualified Health Center (FQHC). Benton County practices in Corvallis, OR. The NPI Number for Benton County is 1982764882 and holds a License No. (Oregon).

The current practice location address for Benton County is 121 Se Viewmont Ave, Corvallis, OR and can be reached out via phone at 541-766-3546 and via fax at 541-766-6143.

Location: 121 Se Viewmont Ave, Corvallis, OR, 97339-0579
institution
Provider Profile Details
NPI Number
1982764882
Provider Name
Benton County
Credential
Provider Entity Type
Organization
Address
121 Se Viewmont Ave, Corvallis, OR, 97339-0579
Phone Number
541-766-3546
Fax Number
541-766-6143
Provider Enumeration Date
12/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
700228501 01 REGENCE BCBS
039328000 01 REGENCE BCBS
227701 05 OR
institution
Provider Business Practice Location Address Details
Address
121 Se Viewmont Ave
City
State
Zip
97333-1968
Phone Number
541-766-3546
Fax Number
541-766-6143
person
Provider Business Mailing Address Details
Address
121 Se Viewmont Ave
City
State
Zip
97333-1968
Phone Number
541-766-3546
Fax Number
541-766-6143
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
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Definition
Definition to come...
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