Organization Active NPI

Ortc, LLC

  • Methadone Clinic
  • Walla Walla, WA
National Provider Identifier
1003762196
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
ORTC, LLC
Practice address
2121 Isaacs Ave
Walla Walla, WA 99362-2215
Phone
(509) 578-1492
Fax
(509) 578-1493
NPI assigned
Mar 10, 2026
Organization subpart
Yes
Parent organization
ORTC, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Authorized official

Name
Dana Jorgensen
Title
Credentialing
Phone
(541) 322-1794

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X

Addresses

Primary practice location

2121 Isaacs Ave
Walla Walla, WA 99362-2215

Mailing address

2121 Isaacs Ave
Walla Walla, WA 99362-2215
Phone (253) 263-7057

Other identifiers 1

IdentifierTypeStateIssuer
BHA.FS.70024367MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.ortc.care Direct

National Provider Directory

National Provider Directory
Tax ID family
Grants Pass Treatment Center9 organizations share this tax ID, including this one
Part of
Grants Pass Treatment Center

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2121 Isaacs Ave
Walla Walla, WA 99362
Phone (509) 578-1492

NPI Registry JSON

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

{
    "created_epoch": "1773100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773100800000",
    "number": "1003762196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 ISAACS AVE",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993622215",
            "telephone_number": "253-263-7057",
            "fax_number": "541-237-0988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 ISAACS AVE",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993622215",
            "telephone_number": "509-578-1492",
            "fax_number": "509-578-1493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTC, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORTC, LLC",
        "enumeration_date": "2026-03-10",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A",
        "authorized_official_last_name": "JORGENSEN",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "541-322-1794"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "BHA.FS.70024367",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.ortc.care",
            "affiliation": "N",
            "endpointDescription": "URL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Organizational Website",
            "address_1": "2121 Isaacs Ave",
            "city": "Walla Walla",
            "state": "WA",
            "country_code": "US",
            "postal_code": "993622215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Walla Walla, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; 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.