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INTEGRATED YOUTHCARE LLC NPI 1881832095


NPI Information

NPI: 1881832095
Provider Name: INTEGRATED YOUTHCARE, LLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
673 NW JACKSON AVE
CORVALLIS, OR
ZIP 97330
Phone: (541) 230-1630
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INTEGRATED YOUTHCARE, LLC is a psychiatric/mental health nurse practitioner in Corvallis, OR. INTEGRATED YOUTHCARE, LLC NPI is 1881832095. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

673 NW JACKSON AVE
CORVALLIS, OR
ZIP 97330-832
Phone: (541) 230-1630

The provider's authorized official is Ron Wiebe .
The authorized official title is Director Of Operations and has the following contact phone number (541) 230-1630.

The enumeration date for this NPI number is 1/26/2009 and was last updated on 7/16/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalL4404OREGONNo
2101YM0800XCounselorMental HealthC2485OREGONNo
3101YM0800XCounselorMental HealthC2422OREGONNo
4363LP0808XNurse PractitionerPsychiatric/Mental Health200950078NPOREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11164568895OTHEROREGONNPI
21285862938OTHEROREGONNPI
31245386440OTHEROREGONNPI
41144439019OTHEROREGONNPI
51881832095OTHEROREGONNPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.