Provider Demographics
NPI:1225861784
Name:OREGON BEHAVIORAL HEALTH LLC
Entity type:Organization
Organization Name:OREGON BEHAVIORAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:OWEN
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:STEINBACHER
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:541-240-2100
Mailing Address - Street 1:PO BOX 159
Mailing Address - Street 2:
Mailing Address - City:WALTERVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97489-0159
Mailing Address - Country:US
Mailing Address - Phone:541-240-2100
Mailing Address - Fax:
Practice Address - Street 1:66 CLUB RD STE 360
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-2463
Practice Address - Country:US
Practice Address - Phone:541-240-2100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-21
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, AdultGroup - Multi-Specialty
No103TP0016XBehavioral Health & Social Service ProvidersPsychologistPrescribing (Medical)Group - Multi-Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health