Provider Demographics
NPI:1164302899
Name:OREGON RESEARCH BEHAVIORAL INTERVENTION STRATEGIES, INC
Entity type:Organization
Organization Name:OREGON RESEARCH BEHAVIORAL INTERVENTION STRATEGIES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:R
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:541-434-1599
Mailing Address - Street 1:3800 SPORTS WAY
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OR
Mailing Address - Zip Code:97477-2019
Mailing Address - Country:US
Mailing Address - Phone:541-434-1599
Mailing Address - Fax:
Practice Address - Street 1:3800 SPORTS WAY
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OR
Practice Address - Zip Code:97477-2019
Practice Address - Country:US
Practice Address - Phone:541-434-1599
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-04
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)