POLARIS PSYCHIATRIC ASSOCIATES, LLC (NPI# 1952593758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952593758 |
| Entity Type | Organization |
| Organization Name | POLARIS PSYCHIATRIC ASSOCIATES, LLC |
| Practice Address |
975 Nw Spruce Ave Ste 102 Corvallis OR 97330-2297 |
| Practice Telephone | 5417388727 |
| Practice Fax Number | 7547584503 |
| Mailing Telephone | 5417388727 |
| Mailing Fax Number | 7547584503 |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2014-09-18 |
| Authorized Official Name | DR. REBECCA M SWIFF (PSYCHIATRIST) |
| Authorized Official Telephone | 5417536445 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MD19576 | OR | Other Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | POLARIS PSYCHIATRIC ASSOCIATES, LLC | 975 Nw Spruce Ave Suite 102, Corvallis, OR 97330 |
| Street Address |
975 NW SPRUCE AVE STE 102 |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97330-2297 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326105040 | Clara A Bozievich | Specialist | 975 Nw Spruce Ave Ste 102, Corvallis, OR 97330-2297 | 2007-01-02 |
| 1538226261 | Winnifred A Schoch | Specialist | 975 Nw Spruce Ave Ste 102, Corvallis, OR 97330-2297 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754912 | Miya Claborn | Counselor | 4495 Se Hwy 20, Corvallis, OR 97330 | 2020-06-09 |
| 1548889017 | Greydi Olvera | Counselor | Childrens Farm Home 4455 Ne Hwy 20, Corvallius, OR 97330 | 2020-04-14 |
| 1053953992 | Andie Marie Gaipo | Counselor | 4455 Ne Hwy 20 - Children's Farm Home, Corvallis, OR 97330 | 2019-10-11 |
| 1740847177 | Stephen Jack Eccles | Behavior Technician | Trillium Children's Farm Home, 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-05-21 |
| 1750944815 | Tiffany Rene Flinchpaugh | Counselor | Children's Farm Home 4455 Hwy 20, Corvallis, OR 97330 | 2019-04-15 |
| 1679035455 | Isaiah Mile Cassidy | Counselor | Children's Farm Home-4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-04-02 |
| 1982168399 | Haylee Cramblit | Counselor | Children's Farm Home 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-01-30 |
| 1457835365 | Ashley Alyn Couch | Counselor | 4455 Hwy 20 Corvallis 97330, Corvallis, OR 97330 | 2018-09-18 |
| 1104318898 | Megan Gerding | Technician, Other | 996 Nw Circle Blvd Suite 103, Corvallis, OR 97330 | 2018-05-30 |
| 1700377108 | Pacific Hearing Services | Audiologist | 975 Nw Spruce Ave, Suite #101, Corvallis, OR 97330 | 2018-05-22 |
| Find all providers in zip 97330 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710454392 | Assistive Learning Technology Consulting LLC | Specialist | 918 Nw Raintree Dr, Corvallis, OR 97330-9769 | 2018-10-31 |
| 1568814127 | Nora Virginia Richards | Specialist | 910 Nw 26th St, Corvallis, OR 97330-4327 | 2016-07-07 |
| 1154732469 | Jill Popowski | Specialist | 305 Sw C Ave Ste 1, Corvallis, OR 97333-4400 | 2014-05-09 |
| 1922354802 | Judy Marie Veary Powers | Specialist | 3730 Nw Jackson Ave, Corvallis, OR 97330-4946 | 2012-07-30 |
| 1295090157 | Karisa Boyce | Specialist | 2151 Nw Fillmore Ave, Corvallis, OR 97330-5624 | 2012-07-06 |
| 1881820553 | Mary Jane Kennel | Specialist | 990 Nw Circle Blvd Ste 201, Corvallis, OR 97330-1410 | 2009-06-08 |
| 1265633929 | Roxann Lee Weger | Specialist | 2155 Nw Evergreen St, Corvallis, OR 97330-1109 | 2007-05-30 |
| 1184781825 | Rebecca M Swiff | Specialist | 525 Nw 2nd St Ste 1, Corvallis, OR 97330-6487 | 2007-01-02 |
| 1326105040 | Clara A Bozievich | Specialist | 975 Nw Spruce Ave Ste 102, Corvallis, OR 97330-2297 | 2007-01-02 |
| 1851458590 | Wendy E Shumway | Specialist | 1600 Sw Western Blvd Ste 330, Corvallis, OR 97333-4082 | 2007-01-02 |
| Find all providers in CORVALLIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.