OREGON TRAIL RECOVERY (NPI# 1194175067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194175067 |
| Entity Type | Organization |
| Organization Name | OREGON TRAIL RECOVERY |
| Practice Address |
10600 Se Mcloughlin Blvd 200 Milwaukie OR 97222-7428 |
| Mailing Address |
12074 Sw Windmill Dr Beaverton OR 97008-7071 |
| Practice Telephone | 5039011836 |
| Mailing Telephone | 8557700577 |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2016-06-21 |
| Authorized Official Name | MISS HEATHER CURRAN BOWLER (LCSW) |
| Authorized Official Telephone | 9713360669 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | L6923 | OR | Residential Treatment Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | OREGON TRAIL RECOVERY | 10600 Se Mcloughlin Blvd Ste 207, Milwaukie, OR 97222 |
| Oregon Corporations, Companies and Business Names | OREGON TRAIL RECOVERY, LLC | 10600 Se Mcloughlin Blvd Ste 207, Milwaukie, OR 97222 |
| Street Address |
10600 SE MCLOUGHLIN BLVD 200 |
| City | MILWAUKIE |
| State | OR |
| Zip Code | 97222-7428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912059601 | Heather M Harris | Specialist | 10600 Se Mcloughlin Blvd, Suite 206, Milwaukie, OR 97222-7428 | 2007-01-16 |
| 1881010502 | Oregon Trail Recovery LLC | Clinic/Center | 10600 Se Mcloughlin Blvd, Ste 207, Milwaukie, OR 97222-7428 | 2014-03-06 |
| 1871929588 | Nanci J Doherty | Massage Therapist | 10600 Se Mcloughlin Blvd, #102, Milwaukie, OR 97222-7428 | 2013-09-26 |
| 1063765824 | Katherine Reece Vernon | Occupational Therapist | 10600 Se Mcloughlin Blvd, Ste 202, Milwaukie, OR 97222-7428 | 2012-10-17 |
| 1528329513 | Wellspring Massage LLC | Massage Therapist | 10600 Se Mcloughlin Blvd, Suite 102, Milwaukie, OR 97222-7428 | 2012-06-06 |
| 1477826691 | Brandi Anne Burland | Chiropractor | 10600 Se Mcloughlin Blvd, Suite 101, Milwaukie, OR 97222-7428 | 2012-02-18 |
| 1790083947 | Samantha Rose Mohn | Specialist | 10600 Se Mcloughlin Blvd, Suite 202, Milwaukie, OR 97222-7428 | 2011-03-10 |
| 1730483256 | Judith Claire Buonforte | Occupational Therapist | 10600 Se Mcloughlin Blvd, Suite 202, Milwaukie, OR 97222-7428 | 2010-12-23 |
| 1053620708 | Jmb Caregiving Services, Inc. | In Home Supportive Care | 10600 Se Mcloughlin Blvd, Suite 212, Milwaukie, OR 97222-7428 | 2010-09-29 |
| 1598078149 | Gwendolyn Shearer | Massage Therapist | 10600 Se Mcloughlin Blvd, Suite 206, Milwaukie, OR 97222-7428 | 2010-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831731397 | Madalyn Kelly Yowell | Technician | 7809 Southeast Southgate Street, Milwaukee, OR 97222 | 2019-10-16 |
| 1336617448 | Nadia Yang | Social Worker | 2115 Se Adams St, Milwaukie, OR 97222 | 2018-11-06 |
| 1851892368 | Arrow Dental LLC | Dentist | 10505 Se 17th Avenue, Milwaukie, OR 97222 | 2018-02-21 |
| 1851814016 | Cathy Maria Andrew | Acupuncturist | 11022 Se Stanley Ave, Milwaukie, OR 97222 | 2017-07-19 |
| 1972025369 | Sarah Elizabeth Giles | Peer Specialist | 11097 Se 21st Ave., Milwaukie, OR 97222 | 2017-07-07 |
| 1366976292 | Brittany Reubendale | Physical Therapist | 12705 See River Rd, Portland, OR 97222 | 2017-04-18 |
| 1669916383 | Margie Hertz | Registered Nurse | 6406 Se Cedarcrest Drive, Milwaukie, OR 97222 | 2016-12-14 |
| 1952858094 | Alexis Escobar | Speech-Language Pathologist | 4560 Se International Way, Ste 100, Milwaukie, OR 97222 | 2016-09-07 |
| 1205295466 | Beth Ann Mills | Acupuncturist | 2025 Se Jefferson St Ste 106, Milwaukie, OR 97222 | 2016-02-16 |
| 1558744086 | Kyle Eugene Coan | Specialist | 3306 Se Wister St, Milwaukie, OR 97222 | 2015-07-01 |
| Find all providers in zip 97222 | ||||
| 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 |
|---|---|---|---|---|
| 1043760838 | Pacific Crest Trail Detox LLC | Substance Abuse Rehabilitation Facility | 7708 Se Clackamas Rd, Milwaukie, OR 97267-4405 | 2016-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669000865 | Mid-valley Healthcare, Inc. | Substance Abuse Rehabilitation Facility | 111 N Main St Ste B, Lebanon, OR 97355-2869 | 2020-04-01 |
| 1548822216 | Oregon Recovery Behavioral Health | Substance Abuse Rehabilitation Facility | 1184 Mcgee Ct Ne Ste 200, Keizer, OR 97303-9443 | 2019-07-02 |
| 1972011682 | Women's Enrichment Counseling | Substance Abuse Rehabilitation Facility | 1300 John Adams St Ste 103, Oregon City, OR 97045-1691 | 2018-01-16 |
| 1356851042 | Debra Monaghan | Substance Abuse Rehabilitation Facility | 1271 Sw 9th St, Warrenton, OR 97146-9418 | 2017-10-06 |
| 1619429396 | Serenity Lane | Substance Abuse Rehabilitation Facility | 304 Dartmoor Drive, Eugene, OR 97401 | 2016-10-28 |
| 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 |
| 1851757454 | Circle of Trust Healing Center, LLC | Substance Abuse Rehabilitation Facility | 3300 Butler Creek Rd, Ashland, OR 97520-9173 | 2016-01-12 |
| 1700258258 | La Pine Ktc, LLC | Substance Abuse Rehabilitation Facility | 16161 Burgess Rd, La Pine, OR 97739-9533 | 2015-10-23 |
| 1669849212 | Ava Center Inc. | Substance Abuse Rehabilitation Facility | 75 Nw Ava Ave, Gresham, OR 97030-7019 | 2015-08-31 |
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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.