WILD GEESE MENTAL HEALTH LLC is a psychiatric/mental health nurse practitioner in Corvallis, OR. WILD GEESE MENTAL HEALTH LLC NPI is 1598126310. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
636 SW 2ND ST
CORVALLIS, OR
ZIP 97333-442
Phone: (541) 636-2855
Fax: (541) 610-1506
The provider's authorized official is Ayelet Amittay .
The authorized official title is Registered Agent and has the following contact phone number (541) 636-2855.
The enumeration date for this NPI number is 3/8/2016 and was last updated on 3/8/2016.