Organization Active NPI

Advance Treatment Center, LLC

  • Case Management Agency
  • Portland, OR
National Provider Identifier
1043647886
Registry record updated Oct 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
073 Issued in OR
Legal business name
ADVANCE TREATMENT CENTER, LLC
Practice address
18210 E Burnside St
Suite a
Portland, OR 97233-5343
Phone
(503) 766-2582
Fax
(503) 465-0165
NPI assigned
Oct 10, 2013
Last updated
Oct 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2013

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

Authorized official

Name
Mr. Ramiro Albarran, CADC I
Title
Director
Phone
(503) 766-2582

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 073 OR Primary
Community/Behavioral Health Agency 251S00000X 073 OR

Addresses

Primary practice location

18210 E Burnside St
Suite a
Portland, OR 97233-5343

Mailing address

18210 E Burnside St
Suite a
Portland, OR 97233-5343
Phone (503) 766-2582

National Provider Directory

National Provider Directory

Locations

18210 E Burnside St
Ste A
Portland, OR 97233
Phone (503) 334-8544

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1381363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381363200000",
    "number": "1043647886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18210 E BURNSIDE ST",
            "address_2": "SUITE A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972335343",
            "telephone_number": "503-766-2582",
            "fax_number": "503-465-0165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18210 E BURNSIDE ST",
            "address_2": "SUITE A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972335343",
            "telephone_number": "503-766-2582",
            "fax_number": "503-465-0165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE TREATMENT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-10",
        "last_updated": "2013-10-10",
        "status": "A",
        "authorized_official_last_name": "ALBARRAN",
        "authorized_official_first_name": "RAMIRO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "503-766-2582",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CADC I"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "OR",
            "license": "073",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OR",
            "license": "073",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2013; 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.