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1689086381 NPI number — BENTON COUNTY

NPI Number: 1689086381
Health Care Provider/Practitioner: BENTON COUNTY

Information about “1689086381” NPI (BENTON COUNTY) exists in 1689086381 in HTML format HTML  |  1689086381 in plain Text format TXT  |  1689086381 in PDF (Portable Document Format) PDF  |  1689086381 in an XML format XML  formats.

NPI Number : 1689086381 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1689086381",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "BENTON COUNTY",
    "ParentOrgTIN": null,
    "OrgName": "BENTON COUNTY",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "530 NW 27TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CORVALLIS",
    "MailingAddressStateName": "OR",
    "MailingAddressPostalCode": "97330-5223",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "541-766-6835",
    "MailingAddressFaxNumber": "541-766-0111",
    "FirstLinePracticeLocationAddress": "530 NW 27TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CORVALLIS",
    "PracticeLocationAddressStateName": "OR",
    "PracticeLocationAddressPostalCode": "97330-5223",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "541-766-2400",
    "PracticeLocationAddressFaxNumber": "541-766-0110",
    "EnumerationDate": "05/29/2014",
    "LastUpdateDate": "05/01/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MOLLEL",
    "AuthorizedOfficialFirstName": "LACEY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "HEALTH DEPARTMENT DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "541-766-6835",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "333600000X",
          "TaxonomyName": "Pharmacy",
          "LicenseNumber": "RP0002882",
          "LicenseNumberStateCode": "OR",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3336C0002X",
          "TaxonomyName": "Clinic Pharmacy",
          "LicenseNumber": "RP0002882CS",
          "LicenseNumberStateCode": "OR",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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