Organization Active NPI

Oregon Trail Recovery

  • Substance Abuse Rehabilitation Facility
  • Milwaukie, OR
National Provider Identifier
1194175067
Registry record updated Jun 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
L6923 Issued in OR
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

Updated by the provider on Jun 21, 2016

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.