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Benton County

NPI #1093997710 in Lebanon, Oregon

Provider Information

NPI Number
1093997710
Entity Type
Organization
Organization Name
Benton County
Subpart
Yes (part of a larger organization)
Parent Organization
BENTON COUNTY
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Dec 4, 2007
Last Updated
May 1, 2025

Practice Location

Address
100 MULLINS DR STE A1
City
Lebanon
State
Oregon
ZIP Code
97355-2868
Phone
(541) 766-0200

Authorized Official

Name
MRS. LACEY MOLLEL
Title
HEALTH CENTER DIRECTOR
Phone
(541) 766-6835

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)

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