Tetralemma Llc

LBN: Tetralemma Llc
Tetralemma Llc is an health care organization with primary practice located at 302 Ne Plymouth Cir , Corvallis OR 97330-4126. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Adult Mental Health. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty. Tetralemma Llc can be contacted via phone (541) 714-5123, or through Davis, Mark via phone (541) 714-5123.

Contact Information

Primary practice address
302 Ne Plymouth Cir Corvallis OR 97330-4126
Phone: (541) 714-5123
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Davis, Mark Licensed Clinical Social Worker (LCSW)
Phone: (541) 714-5123

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1386262673
LBN Legal business name Tetralemma Llc
DBA Doing business as
Authorized official Davis, Mark Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2020
Last updated Jan 8th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386262673 NPPES
Oregon MEDICAID 500783541

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