CRC HEALTH OREGON LLC NPI 1427397074

NPI Information

NPI: 1427397074
Provider Name: CRC HEALTH OREGON, LLC

Doing Business As: WILLAMETTE VALLEY TREATMENT CENTER

Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

Address:
1160 LIBERTY ST SE
SALEM, OR
ZIP 97302
Phone: (503) 391-9762
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CRC HEALTH OREGON, LLC is a methadone clinic center in Salem, 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. CRC HEALTH OREGON, LLC NPI is 1427397074. The provider is registered as an organization entity type.
The provider Is Doing Business As Willamette Valley Treatment Center.

The provider's business location address is:

1160 LIBERTY ST SE
SALEM, OR
ZIP 97302
Phone: (503) 391-9762
Fax: (503) 315-2019

The provider's authorized official is Kim Sanderson .
The authorized official title is President, Ctc Division and has the following contact phone number (855) 259-2288.

The enumeration date for this NPI number is 2/1/2013 and was last updated on 8/24/2021.

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	License Number	License State	Primary
1	261QM2800X	Clinic/Center	Methadone	LOA	OREGON	Yes

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: 11/14/2023

NPI Synchronization or Removal

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