Vasorcc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

4305 Issued in MI

Legal business name

VASORCC

Practice address

8495 Crater Lake Hwy
White City, OR 97503-3011

Phone

(541) 826-2111

NPI assigned

Aug 19, 2006

Organization subpart

No

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

Authorized official

Name

Wolfgang L Agotta, M CAS, CHT/RHT, CRPS

Title

Primary/Assessment Therapist

Phone

(541) 826-2111

Specialties & licenses 1

Addresses

Tax ID family

VA Southern Oregon2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• VA Southern Oregon

  • Substance Abuse Rehabilitation Facility
  • White City, OR
  • NPI 1124198999
  NPD tax ID

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316051980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 N MAIN ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201713",
            "telephone_number": "541-261-8349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8495 CRATER LAKE HWY",
            "city": "WHITE CITY",
            "state": "OR",
            "postal_code": "975033011",
            "telephone_number": "541-826-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASORCC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AGOTTA",
        "authorized_official_first_name": "WOLFGANG",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRIMARY/ASSESSMENT THERAPIST",
        "authorized_official_telephone_number": "541-826-2111",
        "authorized_official_credential": "M CAS, CHT/RHT, CRPS"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MI",
            "license": "4305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wilson Minh Truong
• Michael Ray Twiss, LCSW
• VA Southern Oregon
• Lynette Carol Van Dusen, LCSW
• Ruth Vangsness
• Michelle Diann Veltum, RN
• Vera Whole Health Wa PC
• Veteran Affairssouthern Oregon Rehabilitation Center and Clinic
• Veterans Affairs
• Grant Paul Walker, A.A.S., CADC

• Substance Abuse Rehabilitation Facility in White City, OR
• Providers in White City, OR by specialty
• Substance Abuse Rehabilitation Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.