Prevention and Recovery Northwest

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

PREVENTION AND RECOVERY NORTHWEST

Practice address

1188 Olive St
Eugene, OR 97401-3547

Phone

(541) 484-9274

Fax

(541) 484-5021

NPI assigned

Oct 18, 2006

Organization subpart

No

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

Authorized official

Name

Ann-Marie Bilderback

Title

Executive Director

Phone

(541) 484-9274

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750462230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1188 OLIVE ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013547",
            "telephone_number": "541-484-9274",
            "fax_number": "541-484-5021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1188 OLIVE ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013547",
            "telephone_number": "541-484-9274",
            "fax_number": "541-484-5021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENTION AND RECOVERY NORTHWEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BILDERBACK",
        "authorized_official_first_name": "ANN-MARIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "541-484-9274"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165165",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Present Healing Center Inc
• Gustavo Adolfo Presidente
• Asher Rain Presley
• Alix Marie Pressley, PSS
• Nathaniel Preuit
• Cari Prewett, MS, LBA, BCBA
• Jamie Priaulx, LPTA
• Sarah Price
• Alissa Prieb
• Cathy J Priedigkeit

• Substance Use Disorder Rehabilitation Clinic/Center in Eugene, OR
• Providers in Eugene, OR by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.