NPIMap

Organization Active NPI

Oregon Department of Corrections

  • Prison Health Clinic/Center
  • Umatilla, OR
National Provider Identifier
1326862871
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prison Health Clinic/CenterTaxonomy code 261QP2400X
Legal business name
OREGON DEPARTMENT OF CORRECTIONS
Practice address
82911 Beach Access Rd
Umatilla, OR 97882
Phone
(503) 428-9443
NPI assigned
Nov 12, 2024
Last updated
Nov 12, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
OREGON DEPARTMENT OF CORRECTIONSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Authorized official

Name
Rob Cory Nutt
Title
Chief Pharmacy Officer
Phone
(503) 986-6967

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prison Health Clinic/Center 261QP2400X NU Primary

Addresses

Primary practice location

82911 Beach Access Rd
Umatilla, OR 97882

Mailing address

2757 22ND St SE
Salem, OR 97302

National Provider Directory

National Provider Directory
Tax ID family
Oregon Department of Corrections13 organizations share this tax ID, including this one
Part of
Oregon Department of Corrections

Other organizations with this tax ID 12

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

Locations

82911 Beach Access Rd
Umatilla, OR 97882
Phone (541) 922-2001

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1731369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1326862871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2757 22ND ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "97302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82911 BEACH ACCESS RD",
            "city": "UMATILLA",
            "state": "OR",
            "postal_code": "97882",
            "telephone_number": "503-428-9443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON DEPARTMENT OF CORRECTIONS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OREGON DEPARTMENT OF CORRECTIONS",
        "enumeration_date": "2024-11-12",
        "last_updated": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "NUTT",
        "authorized_official_first_name": "ROB",
        "authorized_official_middle_name": "CORY",
        "authorized_official_title_or_position": "CHIEF PHARMACY OFFICER",
        "authorized_official_telephone_number": "503-986-6967"
    },
    "taxonomies": [
        {
            "code": "261QP2400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Prison Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Umatilla, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.