NPI 1194175067

Oregon Trail Recovery

Organisation Substance Abuse Rehabilitation Facility Milwaukie, OR

Practice location

Address: 10600 SE McLoughlin Blvd 200, Milwaukie, OR 97222-7428
Phone: (503) 901-1836
Mailing address: 12074 SW Windmill Dr, Beaverton, OR 97008-7071

Authorised official

Name: Heather Curran Bowler
Title: LCSW
Phone: (971) 336-0669

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X Licence L6923 (OR)

Other Substance Abuse Rehabilitation Facility providers in Oregon →

Registry record

NPI: 1194175067
Entity type: Organization
NPI issued: 21 Jun 2016
Record last updated: 21 Jun 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.