ORTC LLC NPI 1366953861

NPI Information

NPI: 1366953861
Provider Name: ORTC, LLC
Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

Address:
155 NE REVERE AVE STE 150
BEND, OR
ZIP 97701
Phone: (541) 617-4544
Get Directions

ORTC, LLC is a methadone clinic center in Bend, OR. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. ORTC, LLC NPI is 1366953861. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

155 NE REVERE AVE STE 150
BEND, OR
ZIP 97701-147
Phone: (541) 617-4544
Fax: (541) 749-2126

The provider's authorized official is Dana Jorgensen .
The authorized official title is Authorized Official and has the following contact phone number (541) 322-1794.

The CLIA number assigned to this NPI record is 38D2134657 - other - narcotic treatment progra with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/24/2017 and was last updated on 9/16/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207RA0401X	Internal Medicine	Addiction Medicine	No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	No
3	261QM2800X	Clinic/Center	Methadone	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	38D2134657	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »