BENTON COUNTY (NPI# 1730598038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730598038 |
| Entity Type | Organization |
| Organization Name | BENTON COUNTY |
| Other Organization Name | JUVENILE DEPARTMENT |
| Practice Address |
4077 Sw Research Way Corvallis OR 97333-1065 |
| Mailing Address |
Po Box 579 Corvallis OR 97339-0579 |
| Practice Telephone | 5417666810 |
| Mailing Telephone | 5417666835 |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2019-08-28 |
| Authorized Official Name | SHERLYN DAHL (HEALTH CENTER DIRECTOR) |
| Authorized Official Telephone | 5417662131 |
| Is Organization Subpart | Y |
| Parent Organization Name | BENTON COUNTY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Juvenile Department | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235299140 | Benton County | Clinic/Center | 610 Dragon Dr, Monroe, OR 97456-9604 | 2006-12-11 |
| 1174697148 | Benton County | Case Management | 531 Dewey St, Foley, MN 56329-8413 | 2006-11-20 |
| 1801278015 | Benton County | Clinic/Center | 799 Long St, Sweet Home, OR 97386-3304 | 2015-06-24 |
| 1588046791 | Benton County | Clinic/Center | 435 E Alder St, Alsea, OR 97324-9634 | 2015-06-24 |
| 1689086381 | Benton County | Pharmacy | 530 Nw 27th St, Corvallis, OR 97330-5223 | 2014-05-29 |
| 1497055925 | Benton County | Case Management | 530 Nw 27th St, Corvallis, OR 97330 | 2010-11-01 |
| 1861719015 | Benton County | Clinic/Center | 530 Nw 27th St, Corvallis, OR 97330-5223 | 2010-04-28 |
| 1093997710 | Benton County | Clinic/Center | 100 Mullins Dr Ste A1, Lebanon, OR 97355-2868 | 2007-12-04 |
| 1275752420 | Benton County | Clinic/Center | 530 Nw 27th St, Corvallis, OR 97330-5298 | 2007-04-25 |
| 1982764882 | Benton County | Clinic/Center | 121 Se Viewmont Ave, Corvallis, OR 97333-1968 | 2006-12-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BENTON COUNTY | 215 E Central Ave Rm 101, Bentonville, AR 72712-5395 |
| Oregon Corporations, Companies and Business Names | BENTON COUNTY 4-H ASSOCIATION | 4077 Sw Research Way, Corvallis, OR 97333 |
| Indiana Business Entities | BENTON COUNTY ABSTRACT AND TITLE COMPANY, INC. | C/o S Gregory Howard, 202 North Madison Ave Po 346, Fowler, IN 47944 |
| System for Award Management (SAM) Entities | BENTON COUNTY ADMINISTRATOR'S OFFICE, THE | 531 Dewey St, Foley, MN 56329-8413 |
| Indiana Business Entities | BENTON COUNTY ANGEL FUND LLC | 1110 E Lingle St, Fowler, IN 47944 |
| Iowa Business Entities | BENTON COUNTY ARCHERS, LTD. | Po Box 332, Van Horne, IA 52346 |
| System for Award Management (SAM) Entities | BENTON COUNTY AUDITORS OFFICE | 620 Market St, Prosser, WA 99350-1610 |
| Indiana Business Entities | BENTON COUNTY BASEBALL CLUB, LLC | 8017 Jubilation Lane, West Lafayette, IN 47906 |
| System for Award Management (SAM) Entities | BENTON COUNTY BOARD OF EDUCATION | 197 Briarwood St, Camden, TN 38320-1381 |
| Indiana Business Entities | BENTON COUNTY CABLE INC. | 202 N Madison Ave, Po 346, Fowler, IN 47944 |
| Street Address |
4077 SW RESEARCH WAY |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97333-1065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766829 | Shay Dean Love | Technician | 4077 Sw Research Way, Corvallis, OR 97333-1065 | 2020-10-08 |
| 1003393976 | Blue Elizabeth Valentine | Community Health Worker | 4077 Sw Research Way, Corvallis, OR 97333-1065 | 2018-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437629037 | Collin Korthauer | Case Manager/Care Coordinator | 1650 Sw 45th Place, Corvallis, OR 97333 | 2018-11-27 |
| 1477079937 | Adam Johnson | Counselor | 518 Sw 3rd, Corvallis, OR 97333 | 2017-08-16 |
| 1386961522 | Michael S. Hanson | Counselor | 518 Sw 3rd St., Corvallis, OR 97333 | 2010-04-28 |
| 1134392376 | Corvallis Physical Therapy Inc | Physical Therapist | 230 Sw 3rd Street Suite 208, Corvallis, OR 97333 | 2008-04-09 |
| 1154529600 | Linda S Lavallee Conniff | Social Worker | 216 Sw Madison Av, #9 10, Corvallis, OR 97333 | 2007-07-06 |
| 1235337056 | Robert R Conniff | Social Worker | 216 Sw Madison Ave, 2, Corvallis, OR 97333 | 2007-07-03 |
| 1619178829 | Trillium Family Services | Residential Treatment Facility, Emotionally Disturbed Children | 4455 Highway North West Highway 20, Corvallis, OR 97333 | 2007-05-29 |
| 1437368867 | Margaret Anne Cooper | Physical Therapist | 230 Sw 3rd Street, Suite 208, Corvallis, OR 97333 | 2007-05-22 |
| 1801009311 | Madeline Elizabeth Rubin | Social Worker | 216 Sw Madison Avenue, Suite 14, Corvallis, OR 97333 | 2007-05-08 |
| 1780707174 | Wheeler John Dale | Internal Medicine | 5060 Sw Philomath Blvd, # 512, Corvallis, OR 97333 | 2007-04-09 |
| Find all providers in zip 97333 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104022649 | Children's Farm Home | Clinic/Center | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2007-06-22 |
| 1285719195 | Old Mill Center for Children and Families | Clinic/Center | 1650 Sw 45th Pl, Corvallis, OR 97333 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619599545 | Rework Behavioral Therapy, LLC | Clinic/Center | 7724 Se Aspen Summit Dr Ste 300, Portland, OR 97266-9217 | 2020-05-14 |
| 1447871066 | Sande School of Horsemanship | Clinic/Center | 33836 Bennett Rd, Warren, OR 97053-9706 | 2020-05-05 |
| 1740812809 | Inhousedoc, Inc. | Clinic/Center | 23334 Sw Saint Charles Way, Sherwood, OR 97140-9483 | 2020-02-06 |
| 1033740204 | Cascade Therapy Center, LLC | Clinic/Center | 4531 Se Belmont St Ste 106, Portland, OR 97215-1675 | 2020-01-28 |
| 1043861222 | Renewing Strength Counseling LLC | Clinic/Center | 4509 S 6th St Ste 310, Klamath Falls, OR 97603-4883 | 2019-09-27 |
| 1205338365 | Youth Era | Clinic/Center | 44 W Broadway Ste 225, Eugene, OR 97401-3071 | 2018-03-05 |
| 1801177902 | Cascade Counseling and Assessment | Clinic/Center | 516 Se Morrison St Ste 705, Portland, OR 97214-2347 | 2011-09-01 |
| 1932435377 | County of Lincoln | Clinic/Center | 322 Ne Eads St, Newport, OR 97365-2819 | 2009-10-20 |
| 1760718100 | Lincoln County Health and Human Services | Clinic/Center | 320 Lower Crestline Dr., Waldport, OR 97394 | 2009-10-20 |
| 1851626360 | County of Lincoln | Clinic/Center | 1800 Ne Sturdevant Rd, Toledo, OR 97391 | 2009-10-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.