CENTRAL OREGON EXTENDED UNIT FOR RECOVERY, INC. (NPI# 1215358049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215358049 |
| Entity Type | Organization |
| Organization Name | CENTRAL OREGON EXTENDED UNIT FOR RECOVERY, INC. |
| Other Organization Name | RIMROCK TRAILS ATS REDMOND OFFICE |
| Practice Address |
850 W Antler Ave Redmond OR 97756-2129 |
| Mailing Address |
1333 Nw 9th St Prineville OR 97754-1482 |
| Practice Telephone | 5413162041 |
| Practice Fax Number | 5413162049 |
| Mailing Telephone | 5414472631 |
| Enumeration Date | 2013-12-20 |
| Last Update Date | 2013-12-20 |
| Authorized Official Name | MS. ERICA FULLER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5414472631 |
| Authorized Official Credential | MA, LPC CADCIII |
| Is Organization Subpart | Y |
| Parent Organization Name | CENTRAL OREGON EXTENDED UNIT FOR RECOVERY |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
OR | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Rimrock Trails ATS Redmond Office | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598186322 | Central Oregon Extended Unit for Recovery, Inc. | Counselor | 63360 Britta St Ste 1, Bend, OR 97701-9475 | 2013-12-20 |
| 1750712089 | Central Oregon Extended Unit for Recovery, Inc. | Counselor | 1333 Nw 9th St, Prineville, OR 97754-1482 | 2013-12-12 |
| Street Address |
850 W ANTLER AVE |
| City | REDMOND |
| State | OR |
| Zip Code | 97756-2129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902113327 | Maryann Gray | Counselor | 850 W Antler Ave, Redmond, OR 97756-2129 | 2010-09-07 |
| 1053684589 | The Child Center | Community/Behavioral Health | 850 W Antler Ave, Redmond, OR 97756-2129 | 2012-02-14 |
| 1063793974 | Susan Kay Moore-seaney | Counselor | 850 W Antler Ave, Redmond, OR 97756-2129 | 2011-09-06 |
| 1629357231 | Deborah Coblentz | Counselor | 850 W Antler Ave, Redmond, OR 97756-2129 | 2011-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679083349 | Vicki Rae Morris | Foster Care Agency | 3585 Sw 35th St., Redmond, OR 97756 | 2017-10-06 |
| 1275066417 | Norco, Inc | Durable Medical Equipment & Medical Supplies | 655 Nw Jackpine Ave, Redmond, OR 97756 | 2017-04-05 |
| 1750778015 | Kelly Gobler | Occupational Therapy Assistant | 3000 Sw 32nd Street, The Heights Assisted Living, Redmond, OR 97756 | 2015-04-23 |
| 1912303934 | Andrea Adams | Pharmacist | 944 Sw Veterans Way, Redmond, OR 97756 | 2014-11-18 |
| 1649670365 | Advantage Dental Clinics LLC | Dentist | 442 Sw Umatilla Ave., Suite 200, Redmond, OR 97756 | 2014-08-29 |
| 1760891832 | Elizabeth Mae Smith | Counselor | 2659 Sw 4th St Ste 102, Redmond, OR 97756 | 2014-08-04 |
| 1700296837 | Heather A Ahlf | Physician Assistant | 1245 Nw Canal Blvd, Redmond, OR 97756 | 2014-04-29 |
| 1306289277 | Asa Racquel Aramburo | Social Worker | 203 Sw 8th St., Redmond, OR 97756 | 2013-04-10 |
| 1427396969 | Alison Elizabeth Jackson | Pharmacist | 944 Sw 9th Street, Redmond, OR 97756 | 2013-01-17 |
| 1083964449 | Julie C Plachta | Mechanotherapist | 654 Nw 4th Street, Redmond, OR 97756 | 2012-09-13 |
| Find all providers in zip 97756 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861959462 | Bret N Stern | Counselor | 16225 Ne 87th St Ste A1, Redmond, WA 98052-3536 | 2019-03-01 |
| 1528557212 | Aaron Myers | Counselor | 340 Nw 5th St Ste 203, Redmond, OR 97756-1869 | 2018-05-08 |
| 1871003020 | Katelyn Lanae Olden Lindstrom | Counselor | 16345 Ne 87th St # A-6, Redmond, WA 98052-3503 | 2017-10-02 |
| 1194277962 | Eveangela Ortencia Ahmed | Counselor | 737 Sw Cascade Ave, Redmond, OR 97756-2221 | 2016-10-27 |
| 1164891891 | Kathline Benitez | Counselor | 340 Nw 5th St Ste 202, Box 1710, Redmond, OR 97756-1869 | 2015-09-23 |
| 1023353141 | Tomomi Ito | Counselor | 7981 168th Ave Ne Ste 138, Redmond, WA 98052-0911 | 2012-11-29 |
| 1366713075 | Matthew Vinson | Counselor | 1009 Nw Spruce Ave, Redmond, OR 97756-1212 | 2012-01-26 |
| 1104027432 | Sidney Chichester | Counselor | 1514 Sw Highland Ave, Redmond, OR 97756-2500 | 2007-05-31 |
| 1487791620 | Heidi R. Howard | Counselor | 2410 Quail Creek Way Ne, Redmond, WA 98053-3114 | 2007-01-30 |
| 1134283971 | Thomas&thomas Enterprises, Inc. | Counselor | 16310 Ne 80th St, Suite 104, Redmond, WA 98052-3861 | 2006-12-19 |
| Find all providers in REDMOND | ||||
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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.