Mid-Willamette Valley Transgender Support Network

NPI #1942035126 in Corvallis, Oregon

Provider Information

NPI Number: 1942035126
Entity Type: Organization
Organization Name: Mid-Willamette Valley Transgender Support Network
Primary Specialty: Community/Behavioral Health
Enumeration Date: Sep 5, 2024
Last Updated: Feb 24, 2025

Practice Location

Address: 260 SW MADISON AVE STE 110
City: Corvallis
State: Oregon
ZIP Code: 97333-4728
Phone: (541) 780-3307

Authorized Official

Name: DHARMA LERIA MIRZA, MA
Title: GRANT & HEALTH PROGRAM COORDINATOR
Phone: (541) 780-3307

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X
Case Management	251B00000X
Voluntary or Charitable	251V00000X
Clinic/Center - Research — Research	261QR1100X
Community/Behavioral Health	251S00000X	Primary

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