OrganizationActive
Polk County Mental Health
NPI 1639295694 · Case Management Agency · Dallas, OR
Provider details
- NPI number
- 1639295694
- Entity type
- Organization
- Primary specialty
- Case Management AgencyAgencies
- Organization subpart
- No
- Authorized official
- Corina Martinez, Services Coordinator(503) 623-9289
- License
- 251B00000X (OR)
Specialties & taxonomies
Agencies
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
182 Sw Academy St Ste 304
Dallas, OR 97338-1900
Phone: (503) 623-9289
Fax: (503) 623-1874
Street-level locationGet directions
Mailing address
182 Sw Academy St Ste 304
Dallas, OR 97338-1900
Registry dates
- Enumerated
- 2007-03-21
- 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.