DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DEPT. OF HUMAN SRVCS/OFFICE OF FIN. SRVCS DBA: IRS/EOPC/EOTC/OSH/OSH-P

Active Organization

Intellectual Disabilities Residential Treatment Facility · PENDLETON, OR

Registration Details

NPI Number
1720023807
Provider Type
Organization
NPI Issued
Jun 20, 2006 (19.837480702816 yrs)
Last Updated
Sep 21, 2007
License
6021 (OR)

Practice Information

Address
2525 WESTGATE
PENDLETON, OR, 978019613
Browse OR providers · Browse ZIP 97801
Phone
5412760820
Fax
5412761147
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.