NPI 1982197182

Power House Detox

Organisation Substance Use Disorder Rehabilitation Hospital Unit Otis, OR

Practice location

Address: 3955 Salmon River Hwy, Otis, OR 97368-9778
Phone: (541) 720-4636
Fax: (888) 977-2106

Authorised official

Name: Melissa Kim Homan
Title: Regional Director
Phone: (541) 720-4636

Registered specialties

Substance Use Disorder Rehabilitation Hospital Unit Primary

Hospital Units Taxonomy 276400000X Licence 700119 (OR)

Other Rehabilitation, Substance Use Disorder Unit providers in Oregon →

Registry record

NPI: 1982197182
Entity type: Organization
NPI issued: 12 Jun 2018
Record last updated: 16 Jun 2018

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.