Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Wild Geese Mental Health LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1598126310

Wild Geese Mental Health LLC provides Psychiatric/Mental Health Nurse Practitioner services in Corvallis, Oregon. Licensed in Oregon. Registered with an NPI since 2016.

Licensed in
OR
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

636 SW 2nd St
Corvallis, OR 97333-4442 Not confirmed with CMS for 10 years — call before visiting
Phone: (541) 636-2855
Fax: (541) 610-1506
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 201150061NP (OR)

Record details

NPI number1598126310
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ayelet Amittay — Registered Agent · (541) 636-2855
NPI enumeratedMarch 8, 2016
Last updated in NPPESMarch 8, 2016
Mailing address636 Sw 2nd St, Corvallis, OR 97333-4442

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