Whalio Doctors

NPI 1295280451

Grants Pass Treatment Center

Organisation Substance Abuse Rehabilitation Facility Bend, OR

Practice location

Address
155 NE Revere Ave STE 150, Bend, OR 97701-4147
Phone
(936) 524-2837
Mailing address
1885 NE 7th St, Grants Pass, OR 97526-3403

Authorised official

Name
Matt Owen
Title
Owner
Phone
(541) 617-4544

Registered specialties (2)

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X
Methadone Clinic
Ambulatory Health Care Facilities Taxonomy 261QM2800X

Registry record

NPI
1295280451
Entity type
Organization
NPI issued
17 Aug 2016
Record last updated
16 Sep 2021

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.