Awakenings by the Sea

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

04-11-57U Issued in OR

Legal business name

AWAKENINGS BY THE SEA

Practice address

1325 N Holladay Dr
Seaside, OR 97138-7131

Phone

(503) 738-7700

Fax

(503) 738-7733

NPI assigned

Sep 18, 2007

Last updated

Apr 28, 2010By 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

Ms. Kris Hansen, BS, CADCII, NCACII

Title

Clinical Director

Phone

(503) 738-7700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272412800000",
    "number": "1740476241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 N HOLLADAY DR",
            "city": "SEASIDE",
            "state": "OR",
            "postal_code": "971387131",
            "telephone_number": "503-738-7700",
            "fax_number": "503-738-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 N HOLLADAY DR",
            "city": "SEASIDE",
            "state": "OR",
            "postal_code": "971387131",
            "telephone_number": "503-738-7700",
            "fax_number": "503-738-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWAKENINGS BY THE SEA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2010-04-28",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "KRIS",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "503-738-7700",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BS, CADCII, NCACII"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "OR",
            "license": "04-11-57U",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandroff DMD PC
• Jessica Mandy Renee Almaguer-Eby
• Lucy Anderson-Duyck
• Lynn F Archibald, RPH
• Neda Asadi, PHARMD
• Alexa S Backanen
• Holly Barker, MD
• Nore Batouli, FNP
• Monte L. Baumgartner, DDS
• Christopher James Beeman

• Substance Abuse Rehabilitation Facility in Seaside, OR
• Providers in Seaside, 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 Apr 28, 2010; 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.