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Integrated Youthcare, LLC

Psychiatric/Mental Health Nurse Practitioner in Corvallis, OR · enumerated 2009 · authorized official Ron Wiebe, Director of Operations.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1881832095

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Registry record

Entity type Organization (Type 2)
Legal business name Integrated Youthcare, LLC
Practice address 673 Nw Jackson Ave, Corvallis, OR, 97330
Enumeration date Jan 26, 2009
Last updated in NPPES Jul 16, 2013

Taxonomy & classification

101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers · License C2485 (OR) Secondary
101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers · License C2422 (OR) Secondary
1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License L4404 (OR) Secondary
363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 200950078NP (OR) Primary

Authorized official

Name Ron Wiebe
Title Director of Operations

Other identifiers

Identifier Type State Issuer
1245386440 Other OR NPI
1164568895 Other OR NPI
1881832095 Other OR NPI
1144439019 Other OR NPI
1285862938 Other OR NPI

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-07-16. Verify at npiregistry.cms.hhs.gov.
Where is Integrated Youthcare, LLC located?
The practice location on file with NPPES is in Corvallis, OR.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-07-16.