Healthcare Provider Details

I. General information

NPI: 1104329523
Provider Name (Legal Business Name): CORVALLIS NEIGHBORHOOD HOUSING SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2018
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

212 MAIN STREET
SPRINGFILED OR
97477
US

IV. Provider business mailing address

212 MAIN STREET
SPRINGFILED OR
97477
US

V. Phone/Fax

Practice location:
  • Phone: 541-345-7106
  • Fax: 541-345-9584
Mailing address:
  • Phone: 541-345-7106
  • Fax: 541-345-9584

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State

VIII. Authorized Official

Name: JAYSON MATTHEWS
Title or Position: CHIEF OPERATIONS OFFICER
Credential:
Phone: 541-345-7106