MEDICARE: OREGON RESEARCH BEHAVIORAL INTERVENTION STRATEGIES, INC

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1164302899
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OREGON RESEARCH BEHAVIORAL INTERVENTION STRATEGIES, INC

Provider Business Mailing Address
First Line	:	3800 SPORTS WAY
Second Line	:
City	:	SPRINGFIELD
State	:	OR
Zip	:	97477-2019
Country	:	US
Telephone Number	:	541-434-1599
Fax Number	:	541-484-1108

Provider Business Practice Location Address
First Line	:	3800 SPORTS WAY
Second Line	:
City	:	SPRINGFIELD
State	:	OR
Zip	:	97477-2019
Country	:	US
Telephone Number	:	541-434-1599
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DAVID R SMITH
Credential	:	PHD
Telephone Number	:	541-434-1599

Provider Enumeration Date	:	09/04/2025
Last Update Date	:	03/16/2026

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