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

Wild Geese Mental Health LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1598126310

Wild Geese Mental Health LLC is a Psychiatric/Mental Health Nurse Practitioner 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
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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