Organization Active NPI

Northwest Treatment

  • Addiction (Substance Use Disorder) Counselor
  • Oregon City, OR
National Provider Identifier
1174738686
Registry record updated Jul 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
03040 Issued in OR
Legal business name
NORTHWEST TREATMENT
Practice address
511 Main St
Suite 201
Oregon City, OR 97045-1830
Phone
(503) 655-1029
Fax
(503) 655-4705
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2008

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

Authorized official

Name
Fred T Macklin
Title
Director
Phone
(503) 655-1029

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 03040 OR Primary

Addresses

Primary practice location

511 Main St
Suite 201
Oregon City, OR 97045-1830

Mailing address

511 Main St
Suite 201
Oregon City, OR 97045-1830
Phone (503) 655-1029

National Provider Directory

National Provider Directory

Locations

511 Main St
Ste 201
Oregon City, OR 97045
Phone (503) 655-1029

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1174738686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 MAIN ST",
            "address_2": "SUITE 201",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451830",
            "telephone_number": "503-655-1029",
            "fax_number": "503-655-4705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 MAIN ST",
            "address_2": "SUITE 201",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451830",
            "telephone_number": "503-655-1029",
            "fax_number": "503-655-4705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST TREATMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "MACKLIN",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "503-655-1029"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "03040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oregon City, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; 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.