Addictions Northwest, LLC
Organization Active NPI Community/Behavioral Health Agency · Gresham, OR
NPI 1013259225 · NPPES record last updated Sep 1, 2015
Key facts
- NPI
- 1013259225
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- ADDICTIONS NORTHWEST, LLC
- Practice address
- 1141 NE Division St
Gresham, OR 97030-5726 - Phone
- (503) 328-6973
- Fax
- (503) 912-1225
- NPI assigned
- Mar 26, 2013
- Organization subpart
- No
Authorized official
- Name
- Gary H Patterson, MSW, CADC III
- Title
- Executive Director
- Phone
- (503) 836-2228
Corporate family (same tax ID) 3
Practitioners 1
-
Gary H. Patterson, CADC III, MSW
National Provider Directory
- Tax ID family
- Addictions Northwest LLC
Locations
1141 NE Division St
Gresham, OR 97030
Phone (503) 836-2228
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
1141 NE Division St
Gresham, OR 97030-5726
Mailing address
1141 NE Division St
Gresham, OR 97030-5726
Phone (503) 328-6973
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.