National Provider Identifier Database

EASTER SEALS OREGON
Rehabilitation


Contact Information

EASTER SEALS OREGON
290 MOYER LN NW
SALEM, OR97304-3822
Phone: 503-370-8990
Fax: 503-363-4214
Website:
Specialty Taxonomy Code
* Rehabilitation 261QR0400X
Adolescent and Children Mental Health 261QM0855X

* Indicates primary specialty

NPI Profile & details for EASTER SEALS OREGON

NPI Number 1922072487
Legal business name
LBN
EASTER SEALS OREGON
Authorized official J DAVID CHEVEALLIER - (PRESIDENT/CEO)
Entity Organization
Organization subpart No
Enumeration date 02/13/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor1 Not specified
Identifiers
  • OR Medicaid: 269076

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.

Reviews for EASTER SEALS OREGON

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