ALTERNATIVE SERVICES OREOGN, INC (NPI# 1811064447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811064447 |
| Entity Type | Organization |
| Organization Name | ALTERNATIVE SERVICES OREOGN, INC |
| Practice Address |
11830 Kerr Pkwy Suite 210 Lake Oswego OR 97035-1249 |
| Practice Telephone | 5039772262 |
| Practice Fax Number | 5039772301 |
| Mailing Telephone | 5039772262 |
| Mailing Fax Number | 5039772301 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. PATRICIA JOYCE ALLEN-SLEEMAN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5039772262 |
| 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 | 8203 | OR | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | LICENSE | 8203 | 01 |
| Street Address |
11830 KERR PKWY SUITE 210 |
| City | LAKE OSWEGO |
| State | OR |
| Zip Code | 97035-1249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316067614 | Medstar Inc | Durable Medical Equipment & Medical Supplies | 11830 Kerr Pkwy, Suite 370, Lake Oswego, OR 97035-1223 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700127 | Teresa Siebenaler Scott | Social Worker | 3990 Sw Collins Way, Suite 202, Lake Owsego, OR 97035 | 2020-11-04 |
| 1528671567 | Martin Henry Lees | Internal Medicine | 14 Morningview Lane, Lake Oswego, OR 97035 | 2020-08-28 |
| 1356976187 | Premere Rehab LLC | Occupational Therapist | Infinity Rehab - The Springs At Lake Oswego, 3900 Kruse Way Pl, Lake Oswego, OR 97035 | 2020-03-12 |
| 1689212193 | Jennifer Chauvin | Nurse Practitioner | 20 Juarez Street, Lake Oswego, OR 97035 | 2019-12-16 |
| 1003396888 | Sarah Guenzburger | Physical Therapist | 3900 Kruse Way Pl, Lake Oswego, OR 97035 | 2018-08-21 |
| 1568964252 | Brett Johnson | Marriage & Family Therapist | 5655 Southwood Dr, Lake Oswego, OR 97035 | 2018-03-08 |
| 1912416561 | Michael Paul Long | Social Worker | 14523 Westlake Drive, Lake Oswego, Or 97035, Lake Oswego, OR 97035 | 2017-09-27 |
| 1467807859 | Misty Lohn | Nurse Practitioner | 5 Centerpointe Dr., Ste 600, Lake Oswego, OR 97035 | 2016-05-04 |
| 1326405473 | Kelsey Prince | Behavioral Analyst | 6400 Sw Rosewood St., Portland (lake Oswego), OR 97035 | 2016-01-20 |
| 1942683388 | Elizabeth Risberg Harrison | Massage Therapist | 190 Oswego Summit, Lake Oswego, OR 97035 | 2015-07-02 |
| Find all providers in zip 97035 | ||||
| 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 |
| 1720023807 | Dept. of Human Srvcs/office of Fin. Srvcs Dba: Irs/eopc/eotc/osh/osh-p | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2525 Westgate, Pendleton, OR 97801-9613 | 2006-06-20 |
| 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 | ||||
| City | LAKE OSWEGO |
| Zip Code | 97035 |
Please comment or provide details below to improve the information on ALTERNATIVE SERVICES OREOGN, INC.
| 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.