PACIFIC RECOVERY INC (NPI# 1578528915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578528915 |
| Entity Type | Organization |
| Organization Name | PACIFIC RECOVERY INC |
| Practice Address |
1235 Woodrow Ne Salem OR 97303 |
| Practice Telephone | 5033624980 |
| Practice Fax Number | 5033625478 |
| Mailing Telephone | 5033624980 |
| Mailing Fax Number | 5033625478 |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DON LANGENBERG (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5033624980 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
OR | Ambulatory Health Care Facilities |
| Street Address |
1235 WOODROW NE |
| City | SALEM |
| State | OR |
| Zip Code | 97303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649750175 | Kristin Marie Barz | Behavioral Analyst | 4690 12th Ave Ne, Keizer, OR 97303 | 2018-08-15 |
| 1003359605 | Angela Rose Richard | Community Health Worker | 3410 Cherry Avenue Ne, Keizer, OR 97303 | 2016-11-30 |
| 1881146629 | Alma Denise Vera | Dental Hygienist | 5825 Shoreview Lane Ste C, Keizer, OR 97303 | 2016-10-27 |
| 1679919849 | Ramya Shyamala Kamath | Dentist | 4817 River Rd N, Keizer, OR 97303 | 2013-05-15 |
| 1356682041 | Teresa M Treinen | Physical Therapist | 190 Sandy Drive N, Keizer, OR 97303 | 2013-03-06 |
| 1598001844 | Eagle Eye Vision Care LLC | Optometrist | 4048 River Road North, Keizer, OR 97303 | 2012-12-13 |
| 1245590553 | Thora Jane Stacy | Dental Assistant | 2300 N.e. Lacncaster Dr., Salem, OR 97303 | 2012-05-21 |
| 1295028850 | Rodger Nordskog Magnuson | Pharmacist | 5452 River Road N., Keizer, OR 97303 | 2011-05-16 |
| 1326299843 | Douglas Scott Hamblin | Pediatrics | 5685 Inland Shores Way, Keizer, OR 97303 | 2008-10-02 |
| 1982870382 | Debra Kaye Lynch | Podiatrist | 4905 River Road N, Keizer, OR 97303 | 2008-05-06 |
| Find all providers in zip 97303 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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| 1710462981 | Services To Overcome Drug Abuse Among Teenagers, Inc. | Clinic/Center | 75 Market St, Salem, NJ 08079-1918 | 2018-10-03 |
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| 1013363910 | Jd Health and Wellness Center | Clinic/Center | 608 Lancaster Dr Se, Salem, OR 97317-5643 | 2016-05-10 |
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| 1518419779 | Bend Iop | Clinic/Center | 20354 Empire Ave, Bend, OR 97703-5710 | 2016-11-03 |
| 1447605258 | Crestview Recovery Services, LLC | Clinic/Center | 6027 Se Belmont St, Portland, OR 97215-1927 | 2016-04-29 |
| 1669856571 | Portland Iop, LLC | Clinic/Center | 748 Se 181st Ave, Portland, OR 97233-4945 | 2015-07-10 |
| 1194150326 | Goforth Inspired LLC | Clinic/Center | 345 Ne Baker Creek Rd, Mcminnville, OR 97128-2019 | 2013-09-06 |
| 1376788729 | Total Results LLC | Clinic/Center | 251 Ne Garden Valley Blvd, Suite I, Roseburg, OR 97470-1498 | 2008-12-12 |
| 1225241441 | Crc Health Oregon, LLC | Clinic/Center | 777 Murphy Rd, Medford, OR 97504-8425 | 2007-05-07 |
| 1427109222 | Crc Health Oregon | Clinic/Center | 885 Sw 30th St, Ontario, OR 97914-4626 | 2007-01-16 |
| Find all providers with the same taxonomy | ||||
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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.