CRC HEALTH OREGON, LLC (NPI# 1427397074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427397074 |
Entity Type | Organization |
Organization Name | CRC HEALTH OREGON, LLC |
Other Organization Name | WILLAMETTE VALLEY TREATMENT CENTER |
Practice Address |
1160 Liberty St Se Salem OR 97302 |
Mailing Address |
6185 Paseo Del Norte Ste 150 Carlsbad CA 92011-1155 |
Practice Telephone | 5033919762 |
Practice Fax Number | 5033152019 |
Mailing Telephone | 7607100831 |
Enumeration Date | 2013-02-01 |
Last Update Date | 2018-05-17 |
Authorized Official Name | PETER MORRIS (PRESIDENT, CTC DIVISION) |
Authorized Official Telephone | 6157211297 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
LOA | OR | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Willamette Valley Treatment Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225241441 | Crc Health Oregon, LLC | Clinic/Center | 777 Murphy Rd, Medford, OR 97504-8425 | 2007-05-07 |
1801947668 | Crc Health Oregon, LLC | Clinic/Center | 324 Nw Davis St., Portland, OR 97209 | 2007-01-16 |
1558412320 | Crc Health Oregon, LLC | Clinic/Center | 2600 Se Belmont St, Portland, OR 97214 | 2007-01-16 |
1184775967 | Crc Health Oregon, LLC | Clinic/Center | 10763 Sw Greenburg Rd, Ste 100, Tigard, OR 97223 | 2007-01-16 |
1932250719 | Crc Health Oregon, LLC | Clinic/Center | 6601 Ne 78th Court, Ste A3, Portland, OR 97218 | 2007-01-16 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oregon Corporations, Companies and Business Names | CRC HEALTH OREGON, LLC | 6100 Tower Circle, Suite 1000, Franklin, TN 37067 |
Street Address |
1160 LIBERTY ST SE |
City | SALEM |
State | OR |
Zip Code | 97302 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609942143 | William Lee Johansen | Dentist | 1160 Liberty St Se, Salem, OR 97302-4143 | 2006-11-27 |
1477168573 | Kathy Dement | Registered Nurse | 1160 Liberty St Se, Salem, OR 97302-4143 | 2020-09-15 |
1861017311 | Susanna V Martushev | Counselor | 1160 Liberty St Se, Salem, OR 97302-4143 | 2020-06-10 |
1942834312 | Kimberly Ann Eichler | Licensed Practical Nurse | 1160 Liberty St Se, Salem, OR 97302-4143 | 2020-02-25 |
1477104081 | Angelica Anna Jacob | Licensed Practical Nurse | 1160 Liberty St Se, Salem, OR 97302-4143 | 2019-09-25 |
1689225393 | Rachelle Ann Vargo | Licensed Practical Nurse | 1160 Liberty St Se, Salem, OR 97302-4143 | 2019-09-24 |
1699324889 | Ryan Lawson | Counselor | 1160 Liberty St Se, Salem, OR 97302-4143 | 2019-09-10 |
1184278707 | Lisa Martinez | Counselor | 1160 Liberty St Se, Salem, OR 97302-4143 | 2019-07-31 |
1477013712 | Kathryn Marie Deeds | Counselor | 1160 Liberty St Se, Salem, OR 97302-4143 | 2019-03-22 |
1750840781 | Brandy Vazquez | Licensed Practical Nurse | 1160 Liberty St Se, Salem, OR 97302-4143 | 2019-03-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952954679 | Eric Anthony Bohm | Pharmacist | 2757 22nd St. Se, Salem, OR 97302 | 2019-07-22 |
1598223737 | Michael Robert Martini | Counselor | 960 Liberty Rd Se Suite 120, Salem, OR 97302 | 2019-03-06 |
1659857480 | Avalina Pharmacy Inc | Pharmacy | 3507 Commercial St Se, Salem, OR 97302 | 2018-07-16 |
1649762733 | Joseph Bochsler | Physical Therapist | 3220 Liberty Rd. S., Salem, OR 97302 | 2018-06-04 |
1922533652 | Brianne Elizabeth Sischo | Licensed Practical Nurse | 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 | 2017-05-01 |
1851825566 | Modern Nose Clinic LLC | Otolaryngology | 340 Vista Ave Se, Ste 100, Salem, OR 97302 | 2017-04-19 |
1720529803 | Nicholas Forsberg | Massage Therapist | 126 Mize Rd S, Salem, OR 97302 | 2017-03-09 |
1437691078 | Kimo Mahi | Specialist/Technologist, Other | 2373 Kuebler Rd. S, Salem, OR 97302 | 2016-11-14 |
1588113278 | New Life Family Medicine LLC | Clinic/Center | 842 Commercial Street Ne, Salem, OR 97302 | 2016-09-23 |
1073060117 | Susan Morag Robnett | Counselor | 912 Fir Street South, Salem, OR 97302 | 2016-09-07 |
Find all providers in zip 97302 |
Taxonomy Code | 261QM2800X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Methadone Clinic |
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386706919 | Marion County | Clinic/Center | 2045 Silverton Rd Ne, Salem, OR 97301-0100 | 2006-12-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992897193 | Ram Clinic Inc. | Clinic/Center | 3610 Ne 82nd Ave, Portland, OR 97220-5120 | 2006-09-28 |
1851808562 | Integrated Health Clinics Ne LLC | Clinic/Center | 3610 Ne 82nd Ave, Portland, OR 97220-5182 | 2018-01-03 |
1710933379 | County of Jackson | Clinic/Center | 140 South Holly Street, Medford, OR 97501 | 2006-05-25 |
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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.