DEPT. OF HUMAN SRVCS/OFFICE OF FIN. SRVCS DBA: IRS/EOPC/EOTC/OSH/OSH-P (NPI# 1720023807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720023807 |
| Entity Type | Organization |
| Organization Name | DEPT. OF HUMAN SRVCS/OFFICE OF FIN. SRVCS DBA: IRS/EOPC/EOTC/OSH/OSH-P |
| Other Organization Name | EASTERN OREGON TRAINING CENTER |
| Practice Address |
2525 Westgate Pendleton OR 97801-9613 |
| Mailing Address |
Po Box 14900 Salem OR 97309-5016 |
| Practice Telephone | 5412760820 |
| Practice Fax Number | 5412761147 |
| Mailing Telephone | 5039459469 |
| Mailing Fax Number | 5039471007 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2007-09-21 |
| Authorized Official Name | RUSSELL R. KITTRELL (INSTITUTIONAL REVENUE SECTION MGR.) |
| Authorized Official Telephone | 5039459440 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6021 | OR | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 400093 | 05 |
| Other Name | Type Code |
|---|---|
| Eastern Oregon Training Center | Doing Business As Name - Organization |
| Street Address |
2525 WESTGATE |
| City | PENDLETON |
| State | OR |
| Zip Code | 97801-9613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720637119 | Yvonne Walker | Technician | 821 Se 9th St, Pendleton, OR 97801 | 2019-09-09 |
| 1083262703 | Praxis Medical Group Inc | Family Medicine | 2450 Sw Perkins Avenue, Pendleton, OR 97801 | 2019-08-27 |
| 1255826012 | Cosmas Chukwuemeka Nwerem Jr. | Pharmacist | 1900 Sw Court Place, Pendleton, OR 97801 | 2018-06-25 |
| 1689166811 | Helene Danielle Kuhn | Counselor | 4700 Nw Pioneer Pl, Pendleton, OR 97801 | 2018-06-04 |
| 1801302849 | Shawna L. All | Massage Therapist | 24 Se Emigrant Ave., Pendleton, OR 97801 | 2017-12-27 |
| 1033649256 | Sean Collins | Pharmacist | 203 Sw 20th St, Pendleton, OR 97801 | 2017-06-20 |
| 1073974796 | Channon M Baker | Peer Specialist | 7525 Westgate Bldg #2, Pendleton Creek Crisis Stabilization Unit, Pendleton, OR 97801 | 2016-03-08 |
| 1689034357 | Carre Biegel | Counselor | 17 Sw Frazer St, Ste 282, Pendleton, OR 97801 | 2016-02-24 |
| 1073995429 | Jessica Suzanne Pedersen | Massage Therapist | 812 Nw 12th St, Pendleton, OR 97801 | 2015-06-22 |
| 1861736373 | Christina Northern Northerhn | Social Worker | 331 Se 2nd Street, Pendleton, OR 97801 | 2012-11-21 |
| Find all providers in zip 97801 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376188896 | Thomas Wayne Stutzman | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 168 Ackerman St E, Monmouth, OR 97361-2214 | 2019-11-07 |
| 1710539119 | Kathy Bailey | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4840 Patricia Ct Ne, Salem, OR 97305-3313 | 2019-07-15 |
| 1255893988 | Ariel Schmidt | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3658 Wiltsey St Se, Salem, OR 97317-9303 | 2019-04-02 |
| 1588921845 | Haven House Treatment Center Corp | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 13565 Sw Singletree Dr, Beaverton, OR 97008-7517 | 2012-04-11 |
| 1407121106 | Sean's Place, Incorporated | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 930 Hammer St, Harrisburg, OR 97446-9590 | 2012-03-13 |
| 1457561524 | Childerns Farm Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2820 Se Glenn St, Corvallis, OR 97333-2121 | 2007-05-23 |
| 1811064447 | Alternative Services Oreogn, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 11830 Kerr Pkwy, Suite 210, Lake Oswego, OR 97035-1249 | 2006-11-29 |
| 1043876865 | Home Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5100 Center St Ne, Salem, OR 97317-3217 | 2019-05-16 |
| 1164979191 | Stoneybrooke Residential Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 25500 Se Stark St, Suite 101, Gresham, OR 97030-3331 | 2016-09-07 |
| 1780043802 | Stults House | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 805 Se 151st Ave, Portland, OR 97233-2916 | 2016-02-17 |
| 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.