Healthcare Provider Details

I. General information

NPI: 1891884086
Provider Name (Legal Business Name): COUNTY OF LINN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 06/24/2025
Certification Date: 06/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 7TH AVE SW
ALBANY OR
97321-1924
US

IV. Provider business mailing address

PO BOX 100
ALBANY OR
97321
US

V. Phone/Fax

Practice location:
  • Phone: 541-967-3888
  • Fax: 541-926-2102
Mailing address:
  • Phone: 541-967-3888
  • Fax: 541-926-2102

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number StateOR

VIII. Authorized Official

Name: MR. TODD NOBLE
Title or Position: HEALTH ADMINISTRATOR
Credential: LPC
Phone: 541-967-3888