Vanguard Or LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

VANGUARD OR LLC

Practice address

9541 SW Inez St
Tigard, OR 97224-5885

Phone

(602) 851-9710

NPI assigned

Feb 25, 2025

Organization subpart

No

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

Authorized official

Name

Lawrence Briggs

Title

Ceo

Phone

(480) 320-0752

Specialties & licenses 4

Addresses

Tax ID family

Vanguard Or LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Vanguard Or LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Tigard, OR
  • NPI 1285510784
  NPD tax ID

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

{
    "created_epoch": "1740441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740441600000",
    "number": "1821895194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31917 N 64TH ST",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853312700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9541 SW INEZ ST",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972245885",
            "telephone_number": "602-851-9710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANGUARD OR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-25",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A",
        "authorized_official_last_name": "BRIGGS",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-320-0752"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chantal Alyse Van Wely, MD
• Alexandra Domonique Van
• Davy Elizabeth Vandersommen, LMT
• Larissa Vanderwall
• Vanguard Or LLC
• Vanguard Performance Rehab LLC
• Thomas Vanidestine, D.C.
• Justin Vanlandingham
• Lacey Rae Vann
• Albert Frederick Vantine, PTA

• Mental Illness Community Based Residential Treatment Facility in Tigard, OR
• Providers in Tigard, OR by specialty
• Mental Illness Community Based Residential Treatment Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.