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Contact Information

EASTER SEALS OREGON
290 MOYER LN NW
SALEM, OR97304-3822
 Phone: 503-370-8990
 Fax: 503-363-4214
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

261QR0400X B4[14] Rehabilitation Agency
 

Adolescent and Children Mental Health

261QM0855X
Indicates primary specialty

NPI Profile & details for EASTER SEALS OREGON

NPI # 1922072487
LBN Legal business name EASTER SEALS OREGON
Authorized official J DAVID CHEVEALLIER - (PRESIDENT/CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 02/13/2006
Last updated 09/11/2025 - About 9 months ago
Identifiers
OR Medicaid 269076
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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