Klean Astoria - Or, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

KLEAN ASTORIA - OR, LLC

Practice address

1230 Marine Dr
Suite 201
Astoria, OR 97103-4059

Phone

(503) 325-2067

NPI assigned

Jan 22, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Andrew Spanswick

Title

Ceo

Phone

(310) 435-8096

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1358812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399852800000",
    "number": "1003154345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 W SUNSET BLVD",
            "address_2": "650 B",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900695801",
            "telephone_number": "310-740-4843",
            "fax_number": "310-657-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 MARINE DR",
            "address_2": "SUITE 201",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971034059",
            "telephone_number": "503-325-2067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLEAN ASTORIA - OR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-22",
        "last_updated": "2014-05-12",
        "status": "A",
        "authorized_official_last_name": "SPANSWICK",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-435-8096"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dean Christian Kienholz, CADC I, CGRM, CRM,
• Danielle Trause King, M.D.
• Jamie King
• Vincent Kirse, DMD
• Keith David Klatt, MD
• Klemp Family Dentistry
• Dennis Michael Klemp, DMD
• Melissa K. Klepp, LPC
• Knappa School District 4
• Knappa-Svensen-Burnside Rural Fire Protection District

• Substance Abuse Rehabilitation Facility in Astoria, OR
• Providers in Astoria, OR by specialty
• Substance Abuse Rehabilitation Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.