Active NPI
Oregon Trail Recovery
- Substance Abuse Rehabilitation Facility
- Milwaukie, OR
National Provider Identifier
1194175067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- L6923
- Legal business name
- OREGON TRAIL RECOVERY
- Practice address
- 10600 SE McLoughlin Blvd
200
Milwaukie, OR 97222-7428 - Phone
- (503) 901-1836
- NPI assigned
- Jun 21, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Heather Curran Bowler, LCSW
- Title
- LCSW
- Phone
- (971) 336-0669
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | L6923 | OR | Primary |
Addresses
Primary practice location
10600 SE McLoughlin Blvd
200
Milwaukie, OR 97222-7428
Mailing address
12074 SW Windmill Dr
Beaverton, OR 97008-7071
Phone (855) 770-0577
National Provider Directory
National Provider DirectoryLocations
10600 SE McLoughlin Blvd
#200
Milwaukie, OR 97222
Phone (503) 901-1836
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466467200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1466467200000",
"number": "1194175067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12074 SW WINDMILL DR",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970087071",
"telephone_number": "855-770-0577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10600 SE MCLOUGHLIN BLVD",
"address_2": "200",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972227428",
"telephone_number": "503-901-1836"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OREGON TRAIL RECOVERY",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-21",
"last_updated": "2016-06-21",
"status": "A",
"authorized_official_last_name": "BOWLER",
"authorized_official_first_name": "HEATHER",
"authorized_official_middle_name": "CURRAN",
"authorized_official_title_or_position": "LCSW",
"authorized_official_telephone_number": "971-336-0669",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "OR",
"license": "L6923",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukie, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.