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CHILDREN'S FARM HOME NPI 1104022649


NPI Information

NPI: 1104022649
Provider Name: CHILDREN'S FARM HOME
Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

Address:
4455 NE HIGHWAY 20
CORVALLIS, OR
ZIP 97330
Phone: (541) 757-1852
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CHILDREN'S FARM HOME is an adolescent and children mental health clinic center in Corvallis, OR. The provider is 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. CHILDREN'S FARM HOME NPI is 1104022649. The provider is registered as an organization entity type.

The provider's business location address is:

4455 NE HIGHWAY 20
CORVALLIS, OR
ZIP 97330-695
Phone: (541) 757-1852

The provider's authorized official is Eric Stephen Sirak .
The authorized official title is Cats1 and has the following contact phone number (541) 409-8666.

The enumeration date for this NPI number is 6/22/2007 and was last updated on 7/21/2022.


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
1261QM0855XClinic/CenterAdolescent and Children Mental HealthOREGONYes

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

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