EASTERN OREGON ALCOHOLISM FOUNDATION NPI 1740324953

NPI Information

  • NPI: 1740324953
  • Provider Name: EASTERN OREGON ALCOHOLISM FOUNDATION
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • CLIA Number: 38D2198792
  • Address: 216 SW HAILEY AVENUE
    PENDLETON, OR
    ZIP 97801
  • Phone: (541) 276-3518

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NPI Details

EASTERN OREGON ALCOHOLISM FOUNDATION is a substance abuse rehabilitation facility in Pendleton, OR. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. EASTERN OREGON ALCOHOLISM FOUNDATION NPI is 1740324953. The provider is registered as an organization entity type.

The provider's business location address is:

216 SW HAILEY AVENUE
PENDLETON, OR
ZIP 97801
Phone: (541) 276-3518
Fax: (541) 276-4189

The provider's authorized official is Colin Peter Dumont .
The authorized official title is Executive Director and has the following contact phone number (541) 276-3518.

The CLIA number assigned to this NPI record is 38D2198792 - prison with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/19/2007 and was last updated on 5/4/2015.

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
1324500000XSubstance Abuse Rehabilitation FacilityNo
2251S00000XCommunity/Behavioral HealthOREGONNo
3251B00000XCase ManagementOREGONNo
4324500000XSubstance Abuse Rehabilitation FacilityOREGONYes

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
1006405MEDICAIDOREGON

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: 11/21/2025

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