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NPI 1457561524 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Corvallis, OR
Provider details
- NPI number
- 1457561524
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Joshua Copeland, Lead Ttl Powers(541) 750-1121
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2820 Se Glenn St
Corvallis, OR 97333-2121
Phone: (541) 750-1121
Street-level locationGet directions
Mailing address
2820 Se Glenn St
Corvallis, OR 97333-2121
Registry dates
- Enumerated
- 2007-05-23
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.