Organization · Type 2 NPI

Oregon Trail Recovery

Substance Abuse Rehabilitation Facility · Milwaukie, OR

NPI number 1194175067 Active

Practice location

10600 SE Mcloughlin Blvd, 200
Milwaukie, OR 97222-7428

Mailing address

12074 SW Windmill Dr
Beaverton, OR 97008-7071

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000XL6923 (OR)

Substance Abuse Rehabilitation Facility: 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.

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About NPI 1194175067

Oregon Trail Recovery's National Provider Identifier is 1194175067, issued on Jun 21, 2016. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Milwaukie, OR. The record was last updated on Jun 21, 2016.