WESTCARE OREGON (NPI# 1154741668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154741668 |
| Entity Type | Organization |
| Organization Name | WESTCARE OREGON |
| Practice Address |
9111 Ne Sunderland Ave Portland OR 97211-1708 |
| Mailing Address |
Po Box 12019 St Petersburg FL 33733-2019 |
| Practice Telephone | 5032806646 |
| Mailing Telephone | 7274906767 |
| Mailing Fax Number | 7278230573 |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2014-04-23 |
| Authorized Official Name | ROBERT NERI (CHIEF PROGRAM AND SERVICES OFFICER) |
| Authorized Official Telephone | 7274906767 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | OR | Residential Treatment Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | WESTCARE OREGON, INC. | 9111 Ne Sunderland Ave, Portland, OR 97211 |
| Street Address |
9111 NE SUNDERLAND AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97211-1708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003015090 | Michael Peter Kender | Counselor | 9111 Ne Sunderland Ave, Portland, OR 97211-1708 | 2007-07-11 |
| 1700426087 | Michelle Lee Frost | Counselor | 9111 Ne Sunderland Ave, Portland, OR 97211-1708 | 2020-01-14 |
| 1033756085 | Satoya Johnson | Counselor | 9111 Ne Sunderland Ave, Portland, OR 97211-1708 | 2019-12-09 |
| 1023528254 | Brett C Moler | Counselor | 9111 Ne Sunderland Ave, Portland, OR 97211-1708 | 2017-10-02 |
| 1841660552 | Chelsea Bucina | Counselor | 9111 Ne Sunderland Ave, Portland, OR 97211-1708 | 2015-10-07 |
| 1225382450 | Oren Jacob Selah | Adult Companion | 9111 Ne Sunderland Ave, Portland, OR 97211-1708 | 2012-11-09 |
| 1982954632 | Ellen Linnea Topness | Counselor | 9111 Ne Sunderland Ave, Portland, OR 97211-1708 | 2012-09-10 |
| 1669736047 | Faye Kozonis | Counselor | 9111 Ne Sunderland Ave, Portland, OR 97211-1708 | 2012-06-29 |
| 1164798963 | Scott Eugene Engel | Counselor | 9111 Ne Sunderland Ave, Portland, OR 97211-1708 | 2012-03-26 |
| 1770881294 | Forrest Israel James Sloan | Counselor | 9111 Ne Sunderland Ave, Portland, OR 97211-1708 | 2011-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386104586 | Rachel Joy Kendall | Counselor | 5257 Nw Martin Luther King Jr. Blvd, 202e, Portland, OR 97211 | 2019-03-22 |
| 1073014601 | Kelli Minton | Behavior Technician | 7035 Ne 9th Ave, Portland, OR 97211 | 2018-02-28 |
| 1083145726 | Warren H Baumann | Registered Nurse | 854 Ne Simpson St, Portland, OR 97211 | 2017-03-24 |
| 1407277411 | Regina Barnett | Case Manager/Care Coordinator | 509 Ne Alberta St., Portland, OR 97211 | 2013-12-17 |
| 1578905964 | Carmel Therese Irving | Social Worker | 5912 Ne 16th Ave, Portland, OR 97211 | 2013-07-25 |
| 1629310990 | Lisa Peacock | Counselor | 4433 Ne 35 Place, Portland, OR 97211 | 2013-03-25 |
| 1285907915 | Michele Karen Koder | Pharmacist | 3529 Ne Martin Luther King, Jr. Blvd., Portland, OR 97211 | 2012-02-10 |
| 1629368196 | Alexis Miranda Barker | Massage Therapist | 4929 Ne 30th Ave, Zen Space Healing, Portland, OR 97211 | 2011-04-18 |
| 1396041760 | Kara Ann Fuerst | Specialist | 3325 Ne Prescott, Portland, OR 97211 | 2011-02-02 |
| 1063746337 | Laura K Elvers | Pharmacist | 6116 Ne Mlk, Portland, OR 97211 | 2009-09-18 |
| Find all providers in zip 97211 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477002228 | Treehouse Nw Inc | Substance Abuse Rehabilitation Facility | 4713 N Albina Ave, Suite 301, Portland, OR 97217-2605 | 2016-09-21 |
| 1154785475 | Blvd Centers, Inc | Substance Abuse Rehabilitation Facility | 1316 Se 12th Ave, Portland, OR 97214-3604 | 2016-04-12 |
| 1104219211 | Allied Health Services | Substance Abuse Rehabilitation Facility | 808 Se Alder St, Portland, OR 97214-2213 | 2015-03-13 |
| 1700297074 | Pathfinders of Oregon | Substance Abuse Rehabilitation Facility | 7800 Sw Barbur Blvd, Portland, OR 97219-2823 | 2014-05-08 |
| 1194037283 | De Paul Treatment Centers | Substance Abuse Rehabilitation Facility | 1312 Sw Washington St., Portland, OR 97208 | 2010-07-06 |
| 1649412511 | Portland Detox | Substance Abuse Rehabilitation Facility | 11160 Sw Waverly Pl, Portland, OR 97225-4456 | 2009-03-24 |
| 1144432907 | Serenity House, Inc. | Substance Abuse Rehabilitation Facility | 30 Mellen St, Portland, ME 04101-2110 | 2007-05-04 |
| 1063548436 | Milestone Foundation Inc | Substance Abuse Rehabilitation Facility | 65 India St, Portland, ME 04101-4209 | 2007-02-27 |
| 1851428775 | Depaul Treatment Centers Inc. | Substance Abuse Rehabilitation Facility | 5052 Ne 42nd Ave, Portland, OR 97218-1550 | 2007-02-27 |
| 1114546645 | Nw Insituto Latino | Substance Abuse Rehabilitation Facility | 2054 N Vancouver Ave, Portland, OR 97227-1917 | 2020-04-14 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.