National Provider Identifier Database

POWER HOUSE DETOX
Rehabilitation, Substance Use Disorder Unit

A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.)


Contact Information

POWER HOUSE DETOX
3955 SALMON RIVER HWY
OTIS, OR97368-9778
Phone: 541-720-4636
Fax: 888-977-2106
Website:
Specialty Taxonomy Code
* Rehabilitation, Substance Use Disorder Unit 276400000X

* Indicates primary specialty

NPI Profile & details for POWER HOUSE DETOX

NPI Number 1982197182
Legal business name
LBN
POWER HOUSE DETOX
Authorized official MELISSA HOMAN - (REGIONAL DIRECTOR)
Entity Organization
Organization subpart Yes
Enumeration date 06/12/2018
Last updated 06/16/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • OR License #: 700119
  • OR Medicaid: 500667339

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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