Oregon Health Authority Addictions and Mental Health

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

OREGON HEALTH AUTHORITY ADDICTIONS AND MENTAL HEALTH

Practice address

500 Summer St NE E86
Salem, OR 97301-1118

Phone

(503) 945-5763

Fax

(503) 378-8467

NPI assigned

Jun 10, 2014

Last updated

Jun 10, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jeff Emrick, LSCW, CADC III

Title

Deputy Director

Phone

(503) 945-8862

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1558774216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SUMMER ST NE E86",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973011118",
            "telephone_number": "503-945-5763",
            "fax_number": "503-378-8467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SUMMER ST NE E86",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973011118",
            "telephone_number": "503-945-5763",
            "fax_number": "503-378-8467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON HEALTH AUTHORITY ADDICTIONS AND MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-10",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "EMRICK",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "DEPUTY DIRECTOR",
        "authorized_official_telephone_number": "503-945-8862",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LSCW, CADC III"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oregon CVS Pharmacy LLC (CVS Pharmacy #16154)
• Oregon Department of Corrections
• Oregon Department of Corrections
• Oregon Department of Corrections
• Oregon Dept. of Corrections
• Oregon Heart Center PC
• Oregon Housing and Associated Services, Inc.
• Oregon Marshallese Community Association
• Oregon Medical Centers LLC
• Oregon Neurophysiology Associates PC

• Community/Behavioral Health Agency in Salem, OR
• Providers in Salem, OR by specialty
• Community/Behavioral Health Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.