NPIMap

Organization Active NPI

Pacific North Recovery Center, LLC

  • Substance Abuse Rehabilitation Facility
  • Ridgefield, WA
National Provider Identifier
1669837449
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
PACIFIC NORTH RECOVERY CENTER, LLC
Practice address
888 S Hillhurst Rd
Ridgefield, WA 98642-9063
Phone
(754) 300-3120
Fax
(888) 919-4431
NPI assigned
Dec 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Authorized official

Name
Belina Surujon
Title
Licensing & Contracting Director
Phone
(754) 300-3120

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

888 S Hillhurst Rd
Ridgefield, WA 98642-9063

Mailing address

2200 N Commerce Pkwy Ste 200
Weston, FL 33326-3258
Phone (754) 300-3120

Other practice location 1

1261 Hillhurst Road
Suite 7B
Ridgefield, WA 98642
Phone (754) 300-3129 ext. 4000

Other practice location 2

5114 NE 94th Ave
Vancouver, WA 98662-6039
Phone (754) 300-3120 ext. 4000

National Provider Directory

National Provider Directory

Locations

888 S Hillhurst Rd
Ridgefield, WA 98642
Phone (360) 857-0007

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1450742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1669837449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 N COMMERCE PKWY STE 200",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263258",
            "telephone_number": "754-300-3120",
            "fax_number": "888-919-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 S HILLHURST RD",
            "city": "RIDGEFIELD",
            "state": "WA",
            "postal_code": "986429063",
            "telephone_number": "754-300-3120",
            "fax_number": "888-919-4431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1261 Hillhurst Road",
            "address_2": "Suite 7B",
            "address_purpose": "LOCATION",
            "city": "Ridgefield",
            "state": "WA",
            "postal_code": "98642",
            "country_code": "US",
            "telephone_number": "754-300-3129 x4000",
            "fax_number": "888-919-4431",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5114 NE 94th Ave",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986626039",
            "country_code": "US",
            "telephone_number": "754-300-3120 x4000",
            "fax_number": "888-919-4431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PACIFIC NORTH RECOVERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-22",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A",
        "authorized_official_last_name": "SURUJON",
        "authorized_official_first_name": "BELINA",
        "authorized_official_title_or_position": "LICENSING & CONTRACTING DIRECTOR",
        "authorized_official_telephone_number": "754-300-3120"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; 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.