Phd

LBN: Power House Detox
Phd is an health care organization with primary practice located at 3955 Salmon River Hwy , Otis OR 97368-9778. The organization recently has only one registered license in Hospital Units / Rehabilitation, Substance Use Disorder Unit, which is considered as the primary health care specialty. Power House Detox can be contacted via phone (541) 720-4636, or through Homan, Melissa Kim via phone (541) 720-4636.

Contact Information

Primary practice address
3955 Salmon River Hwy Otis OR 97368-9778
Fax: (888) 977-2106
Website:
Authorized official contact:
Name: Homan, Melissa Kim CADC II, CRM

Health care specialties

SpecialtyCodeLicense #State
Hospital Units / Rehabilitation, Substance Use Disorder Unit 276400000X 700119 Oregon

Profile Details

NPI number 1982197182
LBN Legal business name Power House Detox
DBA Doing business as Phd
Authorized official Homan, Melissa Kim CADC II, CRM
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 12th, 2018
Last updated Jun 16th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982197182 NPPES
Oregon MEDICAID 500667339

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