1. Home
  2. Directory
  3. Oregon
  4. Dallas
  5. Clinic Center
  6. NPI Profile

COUNTY OF POLK
NPI 1710910781
Clinic/Center - Public Health, State or Local in Dallas, OR

Active since July 10, 2006
182 SW ACADEMY STREET, SUITE 302, DALLAS, OR 97338(503) 623-8175(503) 831-3499 Get Directions Write a Review

NPPES record last updated: June 23, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About County Of Polk NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COUNTY OF POLK (NPI 1710910781) is a healthcare organization registered as a public health, state or local in Dallas, Oregon and active in the NPI registry since July 2006. The organization lists Greg P. Hansen, Administrative Officer, as its authorized official.

NPPES Registry Identity

NPI1710910781
Entity TypeOrganization
Primary Taxonomy261QP0905X
Legal Business NameCOUNTY OF POLK
Location Address182 SW ACADEMY STREET, SUITE 302Dallas, OR 97338-1922
Mailing Address182 Sw Academy Street, Suite 302Dallas, OR 97338-1922 · (503) 623-8175 · Fax (503) 831-3499
Phone(503) 623-8175
Fax(503) 831-3499
Organization SubpartNo
Authorized OfficialGreg P. HansenAdministrative Officer · (503) 623-8173
Enumeration DateJuly 10, 2006
Last NPPES UpdateJune 23, 2015
✔ NPI 1710910781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Public Health, State or LocalAmbulatory Health Care Facilities
Taxonomy Code261QP0905X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedPreventive Medicine · Public Health & General Preventive MedicineTaxonomy 2083P0901X
Also ListedClinic/Center · Ambulatory Family Planning FacilityTaxonomy 261QA0005X
182 SW ACADEMY STREET, Dallas, OR 97338
Open in Google Maps ↗

Other Identifiers 4

Medicaid043526OR
Medicaid320101OR
Medicare ID-Type Unspecified087WCHCROR
Medicaid096610OR

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

County Of Polk is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to County Of Polk, which bills Medicare for the services they deliver. Of these, 6 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner7
Mental Health Counselor2
Psychiatry1

Clinicians, nearest first (10)

Zachary Beeler
Mental Health Counselor
NPI 1013525542
182 SW ACADEMY ST
Dallas, OR 97338
(503) 623-9289
✔ PECOS✔ Accepts MedicareSame address
Anthony Koch, PMHNP
Nurse Practitioner
NPI 1821676669
182 SW ACADEMY ST
Dallas, OR 97338
(503) 623-9289
✔ PECOS✔ Accepts MedicareSame address
Chad Sawyer, PMHNP
Nurse Practitioner
NPI 1497989669
182 SW ACADEMY ST SUITE 333
Dallas, OR 97338
(503) 623-9289
✔ PECOS✔ Accepts MedicareSame address
Alfredo Soto, M.D.
Psychiatry
NPI 1841308632
182 SW ACADEMY ST SUITE 30
Dallas, OR 97338
(503) 623-9289
✔ PECOS✔ Accepts MedicareSame address
Reva Vrana, NP
Nurse Practitioner
NPI 1932546447
182 SW ACADEMY ST
Dallas, OR 97338
(503) 623-9289
✔ PECOS✔ Accepts MedicareSame address
Jannell Werner, PMHNP
Nurse Practitioner
NPI 1194164830
182 SW ACADEMY ST
Dallas, OR 97338
(503) 623-9289
✔ PECOS✔ Accepts MedicareSame address
Karri Manning
Mental Health Counselor
NPI 1164828885
1675 WINTER ST NE
Salem, OR 97301
(503) 585-0351
✔ PECOS✔ Accepts Medicare15 mi
Lori Linton Nelson, PMHNP
Nurse Practitioner
NPI 1336297985
3180 CENTER ST NE
Salem, OR 97301
(503) 588-5351
✔ PECOS✔ Accepts Medicare16 mi
Dale Lachance, NURSE PRACTITIONER
Nurse Practitioner
NPI 1568937563
201 HOSPITAL DR
Dover, OH 44622
(330) 343-6631
✔ PECOS✔ Accepts Medicare2,128 mi
Cheryl Ann Hess, PMHNP, LCSW
Nurse Practitioner
NPI 1013094093
1200 RIDGEFIELD BLVD STE 250
Asheville, NC 28806
(828) 633-6070
✔ PECOS✔ Accepts Medicare2,223 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is County Of Polk's NPI number?

The NPI number for County Of Polk is 1710910781. It was assigned to this organization in the NPPES registry on July 10, 2006.

Where is County Of Polk located?

County Of Polk is located at 182 SW Academy Street Suite 302, Dallas, OR 97338. The listed phone number is (503) 623-8175.

What is County Of Polk's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Public Health, State or Local, with taxonomy code 261QP0905X.

Is County Of Polk enrolled in Medicare?

Yes. County Of Polk is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through County Of Polk?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 3 Medicare specialties reassign their Medicare billing to County Of Polk. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (7), Mental Health Counselor (2) and Psychiatry (1). Of these, 6 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does County Of Polk accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list County Of Polk as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for County Of Polk was last updated on June 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.