NPIMap

Organization Active NPI

Oregon Recovery Behavioral Health

  • Substance Abuse Rehabilitation Facility
  • Keizer, OR
National Provider Identifier
1548822216
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
OREGON RECOVERY BEHAVIORAL HEALTH
Practice address
1184 McGee CT NE Ste 200
Keizer, OR 97303-9443
Phone
(503) 304-4358
Fax
(503) 304-4361
NPI assigned
Jul 2, 2019
Organization subpart
Yes
Parent organization
RENAISSANCE RECOVERY RESOURCES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Authorized official

Name
Justin Scott Nielsen, CADC II
Title
Executive Director
Phone
(503) 304-4358

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

1184 McGee CT NE Ste 200
Keizer, OR 97303-9443

Mailing address

PO Box 20674
Keizer, OR 97307-0674
Phone (503) 304-4358

Other practice location 1

465 Commercial St NE Ste 150
Salem, OR 97301-3414
Phone (503) 362-2780

National Provider Directory

National Provider Directory
Tax ID family
Renaissance Recovery Resources Inc7 organizations share this tax ID, including this one
Part of
Renaissance Recovery Resources Inc

Other organizations with this tax ID 6

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

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": "1562025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562025600000",
    "number": "1548822216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20674",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973070674",
            "telephone_number": "503-304-4358",
            "fax_number": "503-304-4361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1184 MCGEE CT NE STE 200",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973039443",
            "telephone_number": "503-304-4358",
            "fax_number": "503-304-4361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "465 Commercial St NE Ste 150",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973013414",
            "country_code": "US",
            "telephone_number": "503-362-2780",
            "fax_number": "503-362-2768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OREGON RECOVERY BEHAVIORAL HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RENAISSANCE RECOVERY RESOURCES, INC.",
        "enumeration_date": "2019-07-02",
        "last_updated": "2019-07-02",
        "status": "A",
        "authorized_official_last_name": "NIELSEN",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "503-304-4358",
        "authorized_official_credential": "CADC II"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keizer, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.