Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Octave Behavioral Michigan PC

Organization Psychologist · NPI 1073367256

Octave Behavioral Michigan PC is a Psychologist in Salem, Oregon. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1127 Broadway St NE Ste 310
Salem, OR 97301-1143
Phone: (415) 360-3833
Fax: (628) 234-3048
Show map & directions

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

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X

Record details

NPI number1073367256
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kym Everett — Vp, Revenue Operations · (650) 504-2289
NPI enumeratedApril 15, 2024
Last updated in NPPESApril 15, 2024
Certification dateApril 15, 2024
Mailing address625 Market St Fl 15, San Francisco, CA 94105-3316

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