KLEAN ASTORIA - OR, LLC (NPI# 1003154345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003154345 |
Entity Type | Organization |
Organization Name | KLEAN ASTORIA - OR, LLC |
Practice Address |
1230 Marine Dr Suite 201 Astoria OR 97103-4059 |
Mailing Address |
9000 W Sunset Blvd 650 B West Hollywood CA 90069-5801 |
Practice Telephone | 5033252067 |
Mailing Telephone | 3107404843 |
Mailing Fax Number | 3106574420 |
Enumeration Date | 2013-01-22 |
Last Update Date | 2014-05-12 |
Authorized Official Name | ANDREW SPANSWICK (CEO) |
Authorized Official Telephone | 3104358096 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
Street Address |
1230 MARINE DR SUITE 201 |
City | ASTORIA |
State | OR |
Zip Code | 97103-4059 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720194749 | Pauljohn Hayner Md PC | Internal Medicine | 1230 Marine Dr, 201, Astoria, OR 97103-4059 | 2006-08-22 |
1205218567 | Leah Sharpe | Counselor | 1230 Marine Dr, Suite 201, Astoria, OR 97103-4059 | 2015-06-23 |
1568754836 | Alternative Sleep Health, Inc | Durable Medical Equipment & Medical Supplies | 1230 Marine Dr, Suite 202, Astoria, OR 97103-4059 | 2011-05-05 |
1548552086 | Ash, LLC | Durable Medical Equipment & Medical Supplies | 1230 Marine Dr, Suite 202, Astoria, OR 97103-4059 | 2011-05-03 |
1962792804 | Advanced Sleep Health, LLC | Clinic/Center | 1230 Marine Dr, Suite 202, Astoria, OR 97103-4059 | 2011-04-12 |
1679797245 | Sleep Health & Wellness Nw Astoria | Durable Medical Equipment & Medical Supplies | 1230 Marine Dr, Suite 202, Astoria, OR 97103-4059 | 2007-04-12 |
1942323480 | Clatsop County Child Abuse Assessment Center | Clinic/Center | 1230 Marine Dr, Suite 301, Astoria, OR 97103-4059 | 2007-04-09 |
1710017447 | Arete Nw LLC | Durable Medical Equipment & Medical Supplies | 1230 Marine Dr, Suite 202, Astoria, OR 97103-4059 | 2007-03-06 |
1568591618 | Arete Sleep Therapy Nw LLC | Durable Medical Equipment & Medical Supplies | 1230 Marine Dr, Suite 202, Astoria, OR 97103-4059 | 2007-03-05 |
1316072838 | Arete Nw LLC | Clinic/Center | 1230 Marine Dr, Suite 202, Astoria, OR 97103-4059 | 2007-02-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730552845 | Kpg Oregon, LLC | Internal Medicine | 486 12th Street #200, Astoria, OR 97103 | 2015-11-11 |
1205239043 | Brittany Dawn Vigoren | Dental Hygienist | 433 30th St., Astoria, OR 97103 | 2014-10-08 |
1497188858 | Jennifer U Boggs | Counselor | 10 Pier 1 Ste 203, Astoria, OR 97103 | 2013-08-20 |
1780022046 | Judy J Curnow | Massage Therapist | 1 12th Street Suite 10, Astoria, OR 97103 | 2013-06-10 |
1659626612 | Megan Lampson | Physical Therapist | 646 16th Ave., Astoria, OR 97103 | 2012-07-16 |
1043580947 | Matthew Thomas Cassity | Physical Therapy Assistant | 646 16th St., Astoria, OR 97103 | 2012-01-09 |
1881975969 | Rebecca Nicole Roe | Contractor | 25 Whitebush Way, Astoria, OR 97103 | 2011-09-02 |
1346542214 | Michele Lynn Hart | Social Worker | 2120 Exchange, Astoria, OR 97103 | 2010-11-29 |
1447551197 | Barbara Ellen Arnold | Pharmacist | 3250 Leif Erickson Dr, Astoria, OR 97103 | 2010-11-11 |
1083915219 | Christina Louise Jones | Pharmacist | 3250 Lief Erickson Dr, Astoria, OR 97103 | 2010-11-04 |
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Taxonomy Code | 324500000X |
Grouping | Residential Treatment Facilities |
Classification | Substance Abuse Rehabilitation Facility |
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
Notes: [7/1/2003: modified title, modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417043373 | Serenity Partners, LLC Dba Serenity By The Sea | Substance Abuse Rehabilitation Facility | 263 W Exchange St, Astoria, OR 97103-6142 | 2006-10-05 |
1144884586 | North Coast Recovery Foundation | Substance Abuse Rehabilitation Facility | 441 30th St, Astoria, OR 97103-2807 | 2019-04-30 |
1871924415 | Bhs Laboratory Services of Oregon | Substance Abuse Rehabilitation Facility | 263 W Exchange St, Astoria, OR 97103-6142 | 2013-12-09 |
1508038886 | Behavioral Health Solutions of Oregon, LLC | Substance Abuse Rehabilitation Facility | 263 W Exchange St, Astoria, OR 97103-6142 | 2008-03-27 |
1932371226 | Serenity Partners, LLC | Substance Abuse Rehabilitation Facility | 263 W Exchange St, Astoria, OR 97103-6142 | 2008-03-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669000865 | Mid-valley Healthcare, Inc. | Substance Abuse Rehabilitation Facility | 111 N Main St Ste B, Lebanon, OR 97355-2869 | 2020-04-01 |
1548822216 | Oregon Recovery Behavioral Health | Substance Abuse Rehabilitation Facility | 1184 Mcgee Ct Ne Ste 200, Keizer, OR 97303-9443 | 2019-07-02 |
1972011682 | Women's Enrichment Counseling | Substance Abuse Rehabilitation Facility | 1300 John Adams St Ste 103, Oregon City, OR 97045-1691 | 2018-01-16 |
1356851042 | Debra Monaghan | Substance Abuse Rehabilitation Facility | 1271 Sw 9th St, Warrenton, OR 97146-9418 | 2017-10-06 |
1619429396 | Serenity Lane | Substance Abuse Rehabilitation Facility | 304 Dartmoor Drive, Eugene, OR 97401 | 2016-10-28 |
1043760838 | Pacific Crest Trail Detox LLC | Substance Abuse Rehabilitation Facility | 7708 Se Clackamas Rd, Milwaukie, OR 97267-4405 | 2016-10-05 |
1477002228 | Treehouse Nw Inc | Substance Abuse Rehabilitation Facility | 4713 N Albina Ave, Suite 301, Portland, OR 97217-2605 | 2016-09-21 |
1154785475 | Blvd Centers, Inc | Substance Abuse Rehabilitation Facility | 1316 Se 12th Ave, Portland, OR 97214-3604 | 2016-04-12 |
1851757454 | Circle of Trust Healing Center, LLC | Substance Abuse Rehabilitation Facility | 3300 Butler Creek Rd, Ashland, OR 97520-9173 | 2016-01-12 |
1700258258 | La Pine Ktc, LLC | Substance Abuse Rehabilitation Facility | 16161 Burgess Rd, La Pine, OR 97739-9533 | 2015-10-23 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.