MEDICARE: COUNTY OF LINN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM2500X	Medical Specialty Clinic/Center		OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891884086
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COUNTY OF LINN

Provider Business Mailing Address
First Line	:	PO BOX 100
Second Line	:
City	:	ALBANY
State	:	OR
Zip	:	97321-0031
Country	:	US
Telephone Number	:	541-967-3888
Fax Number	:	541-926-2102

Provider Business Practice Location Address
First Line	:	1050 7TH AVE SW
Second Line	:
City	:	ALBANY
State	:	OR
Zip	:	97321-1924
Country	:	US
Telephone Number	:	541-967-3888
Fax Number	:	541-926-2102

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	TOOD NOBLE
Credential	:	LPC
Telephone Number	:	541-967-3866

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	01/14/2026

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Directions to “COUNTY OF LINN ” Practice Location

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