Polk County Mental Health

NPI #1174892301 in Dallas, Oregon

Provider Information

NPI Number: 1174892301
Entity Type: Organization
Organization Name: Polk County Mental Health
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Dec 16, 2011
Last Updated: Dec 16, 2011

Practice Location

Address: 182 SW ACADEMY ST
Address 2: SUITE304
City: Dallas
State: Oregon
ZIP Code: 97338-1922
Phone: (503) 623-9289

Authorized Official

Name: MS. DARA LYNN LURAS, LPN
Title: PRESCRIBER SUPPORT SPECIALIST
Phone: (503) 623-9289

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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