Active NPI
Ortc, LLC
- Methadone Clinic
- Walla Walla, WA
National Provider Identifier
1003762196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Methadone Clinic
- 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, LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BHA.FS.70024367 | Medicaid | WA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.ortc.care | Direct |
National Provider Directory
National Provider Directory- Tax ID family
- Grants Pass Treatment Center
- 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.
-
- Methadone Clinic
- Spokane, WA
- NPI 1609502350
-
- Methadone Clinic
- Richland, WA
- NPI 1699362285
-
- Substance Abuse Rehabilitation Facility
- Bend, OR
- NPI 1295280451
-
- Methadone Clinic
- Eugene, OR
- NPI 1144019399
-
- Substance Abuse Rehabilitation Facility
- Bend, OR
- NPI 1154722361
-
- Methadone Clinic
- Bend, OR
- NPI 1366953861
-
- Clinic/Center
- Medford, OR
- NPI 1427680057
-
- Methadone Clinic
- Springfield, OR
- NPI 1710498001
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.