WILLAMETTE FAMILY, INC (NPI# 1376546291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376546291 |
| Entity Type | Organization |
| Organization Name | WILLAMETTE FAMILY, INC |
| Other Organization Name | WILLAMETTE FAMILY TREATMENT SERVICES |
| Practice Address |
687 Cheshire Ave Eugene OR 97402-5060 |
| Practice Telephone | 5416844100 |
| Practice Fax Number | 5416844156 |
| Mailing Telephone | 5416844100 |
| Mailing Fax Number | 5416844156 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2019-06-27 |
| Authorized Official Name | SUSAN L. DEY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5416844100 |
| Authorized Official Credential | QMHP, M.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities | ||
| N | 251S00000X | Community/Behavioral Health | OR | Agencies | |
| N | 251V00000X | Voluntary or Charitable | 1739 | OR | Agencies |
| Y | 324500000X | Substance Abuse Rehabilitation Facility | OR | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 008891 | 05 | |
| OR | 247573 | 05 | |
| OR | 500678005 | 05 |
| Other Name | Type Code |
|---|---|
| WILLAMETTE FAMILY TREATMENT SERVICES | Former Legal Business Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WILLAMETTE FAMILY, INC. | 687 Ceshire Ave, Eugene, OR 97402-5060 |
| Oregon Corporations, Companies and Business Names | WILLAMETTE FAMILY, INC. | 687 Cheshire Ave, Eugene, OR 97402 |
| Street Address |
687 CHESHIRE AVE |
| City | EUGENE |
| State | OR |
| Zip Code | 97402-5060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184233736 | Olivia Marie Fulton | Counselor | 687 Cheshire Ave, Eugene, OR 97402-5060 | 2020-07-29 |
| 1376185793 | Vanessa Ann Patterson | Peer Specialist | 687 Cheshire Ave, Eugene, OR 97402-5060 | 2019-10-17 |
| 1225679061 | Hannah Leiken | Counselor | 687 Cheshire Ave, Eugene, OR 97402-5060 | 2019-10-02 |
| 1972152262 | Kaycie Kitzmiller | Counselor | 687 Cheshire Ave, Eugene, OR 97402-5060 | 2019-09-09 |
| 1184273823 | Mckayla Marie Knight | Counselor | 687 Cheshire Ave, Eugene, OR 97402-5060 | 2019-09-05 |
| 1164079018 | Tia Kerrigan | Counselor | 687 Cheshire Ave, Eugene, OR 97402-5060 | 2019-08-23 |
| 1689228751 | Kimberly Anne Brown | Counselor | 687 Cheshire Ave, Eugene, OR 97402 | 2019-07-27 |
| 1336700368 | Amber Lynn Matthews | Counselor | 687 Cheshire Ave, Eugene, OR 97402-5060 | 2019-06-20 |
| 1528622974 | Katherine Hagan | Counselor | 687 Cheshire Ave, Eugene, OR 97402-5060 | 2019-04-30 |
| 1013570183 | Rose Macchi | Peer Specialist | 687 Cheshire Ave, Eugene, OR 97402-5060 | 2019-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538709704 | Jordan Charles Smith | Massage Therapist | 775 Menroe St., Eugene, OR 97402 | 2020-01-15 |
| 1104462134 | Cerridwen Laurel Martin | Massage Therapist | 775 Monroe St., Eugene, OR 97402 | 2019-11-25 |
| 1720556368 | Valerie Jeanne Charles | Massage Therapist | 989 Throne Dr., Eugene, OR 97402 | 2018-11-12 |
| 1407324189 | Laura Angulo | Massage Therapist | 1247 W 8th Ave Apt 10, Eugene, OR 97402 | 2018-11-11 |
| 1932687472 | Karl Alan Porter | Counselor | 1195 City View St Ste B, Eugene, OR 97402 | 2018-08-06 |
| 1992283170 | Fresenius Medical Care Dialysis Services - Oregon, LLC | Clinic/Center | 3747 W 11th Ave, Eugene, OR 97402 | 2018-07-31 |
| 1699251744 | Isabella Arlo Jane Silver | Counselor | 970 W 7th Ave., Eugene, OR 97402 | 2018-07-12 |
| 1447740527 | Shasta Tobi Cooke | Behavioral Analyst | 677 1/2 W 12th Ave, Eugene, OR 97402 | 2018-05-15 |
| 1497205306 | Jenna Bracco | Social Worker | 1274 W. 7th Avenue Suite 201, Eugene, OR 97402 | 2016-10-04 |
| 1871041392 | Jeremy Powers | Massage Therapist | 882 Van Buren St, Eugene, OR 97402 | 2016-09-13 |
| Find all providers in zip 97402 | ||||
| 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 |
|---|---|---|---|---|
| 1619429396 | Serenity Lane | Substance Abuse Rehabilitation Facility | 304 Dartmoor Drive, Eugene, OR 97401 | 2016-10-28 |
| 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 |
| 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 |
| 1669849212 | Ava Center Inc. | Substance Abuse Rehabilitation Facility | 75 Nw Ava Ave, Gresham, OR 97030-7019 | 2015-08-31 |
| Find all providers with the same taxonomy | ||||
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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.