Veteran Affairssouthern Oregon Rehabilitation Center and Clinic

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

VETERAN AFFAIRSSOUTHERN OREGON REHABILITATION CENTER AND CLINIC

Practice address

8495 Crater Lake Hwy
White City, OR 97503-3011

Phone

(541) 826-2111

Fax

(541) 830-3518

NPI assigned

Jun 24, 2009

Organization subpart

No

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

Authorized official

Name

Michael Twiss, LCSW

Title

Chief of Social Work

Phone

(541) 826-2111

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245801600000",
    "number": "1467680777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8495 CRATER LAKE HWY",
            "city": "WHITE CITY",
            "state": "OR",
            "postal_code": "975033011",
            "telephone_number": "541-826-2111",
            "fax_number": "541-830-3518"
        },
        {
            "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",
            "fax_number": "541-830-3518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VETERAN AFFAIRSSOUTHERN OREGON REHABILITATION CENTER AND CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-24",
        "last_updated": "2009-06-24",
        "status": "A",
        "authorized_official_last_name": "TWISS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIEF OF SOCIAL WORK",
        "authorized_official_telephone_number": "541-826-2111",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynette Carol Van Dusen, LCSW
• Ruth Vangsness
• Vasorcc
• Michelle Diann Veltum, RN
• Vera Whole Health Wa PC
• Veterans Affairs
• Grant Paul Walker, A.A.S., CADC
• Catherine D Wallace, RN
• Matthew Ryan Warner, PHARM,D.
• Kimberly Warren, NP

• 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 Jun 24, 2009; 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.