Provider Demographics
NPI:1629640289
Name:OYEN LLC
Entity Type:Organization
Organization Name:OYEN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MELINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:AVILA
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:503-953-2064
Mailing Address - Street 1:255 N ARNEY RD STE 220
Mailing Address - Street 2:
Mailing Address - City:WOODBURN
Mailing Address - State:OR
Mailing Address - Zip Code:97071-8462
Mailing Address - Country:US
Mailing Address - Phone:503-953-2064
Mailing Address - Fax:
Practice Address - Street 1:255 N ARNEY RD STE 220
Practice Address - Street 2:
Practice Address - City:WOODBURN
Practice Address - State:OR
Practice Address - Zip Code:97071-8462
Practice Address - Country:US
Practice Address - Phone:503-953-2064
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-13
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty