OrganizationActive
Children Farm Home
NPI 1760827182 · Emotionally Disturbed Childrens' Residential Treatment Facility · Corvallis, OR
Provider details
- NPI number
- 1760827182
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Walker Vave, Skills Trainer(541) 758-5944
- License
- 101Y00000X (OR)
Specialties & taxonomies
- Emotionally Disturbed Childrens' Residential Treatment FacilityPrimary322D00000XLicense 101Y00000X (OR)
Residential Treatment Facilities
Practice location
4455 Ne Highway 20
Corvallis, OR 97330-9695
Phone: (541) 757-1852
Approximate (ZIP-level) locationGet directions
Mailing address
3415 Se Powell Blvd
Portland, OR 97202-3371
Registry dates
- Enumerated
- 2013-04-30
- Last updated
- 2013-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.