Friends of the Family

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

FRIENDS OF THE FAMILY

Practice address

685 NW 5TH St Ste a
Corvallis, OR 97330-6462

Phone

(541) 757-1761

NPI assigned

Mar 14, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. David M Jackson, MS, MAMFT

Title

Executive Director

Phone

(541) 757-1761

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1144761883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 NW 5TH ST STE A",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973306462",
            "telephone_number": "541-757-1761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 NW 5TH ST STE A",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973306462",
            "telephone_number": "541-757-1761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDS OF THE FAMILY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "541-757-1761",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, MAMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Community/Behavioral Health Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.