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Active NPI 1366953861 Organization (Entity Type 2) Subpart Facility

Ortc, Llc

Clinic/Center - Methadone • Bend, OR

Parent Organization: Bend Treatment Center

Public Directory Information & Medical Disclaimer

This facility profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or healthcare referrals. Always consult a qualified medical professional for health queries.

About Ortc, Llc NPI 1366953861 Summary

Ortc, Llc is a verified healthcare organization specializing in Clinic/Center - Methadone operating in Bend, OR. Located at 155 NE REVERE AVE STE 150, this facility provides patient care and medical services under National Provider Identifier (NPI) 1366953861.

Ortc, Llc operates as a subpart facility of Bend Treatment Center. Administrative operations and authorized compliance are overseen by Dana Jorgensen (Authorized Official).

The facility is associated with 5 linked healthcare practitioners providing clinical services. In addition to its main center, the organization maintains 1 secondary practice location in the region.

Facility Location & Contact Primary Location

Facility Address

155 Ne Revere Ave Ste 150

Bend, OR 977014147

Telephone 5416174544
Fax 5417492126

Authorized Official Information

Authorized Contact Name

Dana Jorgensen

Title / Role

Authorized Official

Official Telephone

5413221794

Facility Classifications & Specialties

Clinic/Center - Methadone Primary Taxonomy

NUCC Taxonomy Code: 261QM2800X

An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

Internal Medicine - Addiction Medicine

NUCC Taxonomy Code: 207RA0401X

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

Clinic/Center - Rehabilitation, Substance Use Disorder

NUCC Taxonomy Code: 261QR0405X

Definition to come...

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

5 Linked
Gabrielle Johnson NPI 1023615879

Counselor - Addiction (Substance Use Disorder)

Bend, OR

View Practitioner Profile →
Anne Wensel NPI 1114788148

Counselor - Addiction (Substance Use Disorder)

Bend, OR

View Practitioner Profile →
Jerrica Baker NPI 1174385314

Counselor - Addiction (Substance Use Disorder)

Bend, OR

View Practitioner Profile →
Rachel Cummings NPI 1356015986

Counselor

Bend, OR

View Practitioner Profile →
Jack Lopez , CADCII NPI 1750858858

Counselor - Addiction (Substance Use Disorder)

Bend, OR

View Practitioner Profile →

Secondary Facility Locations

Verified branch offices, satellite clinics, and regional practice locations

1 Branches

118 Sw 20th St Ste 3&4

Pendleton, OR 978011804

Phone: 5416174544

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

7 Historical Events
📍
Updated Practice Location November 15, 2019

Registered at 155 NE REVERE AVE STE 150, BEND, OR 977014147 (Tel: 5416174544)

NPI Profile Active October 24, 2017

NPI status registered as active in NPPES database

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Updated Practice Location October 24, 2017

Registered at 118 SW 20TH ST STE 3&4, PENDLETON, OR 978011804 (Tel: 5416174544)

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Updated Business Mailing Address October 24, 2017

Registered at 155 NE REVERE AVE STE 150, BEND, OR 977014147 (Tel: 5416174544)

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Organization / Clinic Name Updated October 24, 2017

Operating as ORTC, LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2017

Internal Medicine

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Initial NPI Registration & Enumeration October 24, 2017

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1366953861
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: October 24, 2017
Last Update: September 16, 2021

Mailing Address

155 Ne Revere Ave Ste 150

Bend, OR 977014147

Phone: 5416174544

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.