National Provider Identifier Database

COUNTY OF POLK
Public Health, State or Local

Contact Information

COUNTY OF POLK
182 SW ACADEMY STREET
SUITE 302
DALLAS, OR  97338-1922
Phone: 503-623-8175
Fax: 503-831-3499
Website:
Specialty Taxonomy Code
* Public Health, State or Local 261QP0905X
Ambulatory Family Planning Facility 261QA0005X
Case Manager/Care Coordinator 171M00000X
Public Health & General Preventive Medicine 2083P0901X

* Indicates primary specialty

NPI Profile & details for COUNTY OF POLK

NPI Number 1710910781
Legal business name
LBN		 COUNTY OF POLK
Authorized official GREG HANSEN - (ADMINISTRATIVE OFFICER)
Entity Organization
Organization subpart No
Enumeration date 07/10/2006
Last updated 06/23/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • OR Medicaid: 043526
  • OR Medicaid: 096610
  • OR Medicaid: 320101

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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