Recovery Cafe of Clark County

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

RECOVERY CAFE OF CLARK COUNTY

Practice address

3312 E Fourth Plain Blvd Ste 100
Vancouver, WA 98661-5489

Phone

(360) 984-6163

NPI assigned

Jun 25, 2020

Organization subpart

No

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

Authorized official

Name

Harold Rains

Title

Finance Director

Phone

(360) 984-6163

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593043200000",
    "number": "1467079467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3312 E FOURTH PLAIN BLVD STE 100",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986615489",
            "telephone_number": "360-984-6163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3312 E FOURTH PLAIN BLVD STE 100",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986615489",
            "telephone_number": "360-984-6163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY CAFE OF CLARK COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-25",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A",
        "authorized_official_last_name": "RAINS",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "360-984-6163"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Reber, MSW
• Rebound Physical Therapy
• Stephen Joseph Rechenmacher, M.D.
• Christine Lynne Record, HCA, BA, SUDPT, NAR
• Jennifer Ann Recore, D.M.D.
• Suzanne Rector
• Stacy Ann Reddington, LPN
• Kanuboddu Nagarjuna Reddy
• Aubrey Elenora Redfern
• Ariel S Redford, MA

• Community/Behavioral Health Agency in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Community/Behavioral Health Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.