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Active NPI 1013259225 Organization (Entity Type 2)

Addictions Northwest, Llc

Community/Behavioral Health • Gresham, OR

About Addictions Northwest, Llc NPI 1013259225 Summary

Addictions Northwest, Llc is a verified healthcare organization specializing in Community/Behavioral Health operating in Gresham, OR. Located at 1141 NE DIVISION ST, this facility provides patient care and medical services under National Provider Identifier (NPI) 1013259225.

Administrative operations and authorized compliance are overseen by Gary Patterson (Executive Director).

Facility Location & Contact Primary Location

Facility Address

1141 Ne Division St

Gresham, OR 970305726

Telephone 5033286973

Fax 5039121225

Authorized Official Information

Authorized Contact Name

Gary Patterson , MSW, CADC III

Title / Role

Executive Director

Official Telephone

5038362228

Facility Classifications & Specialties

Community/Behavioral Health Primary Taxonomy

NUCC Taxonomy Code: 251S00000X

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Facility & Registry History Timeline

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

6 Historical Events

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NPI Profile Active September 01, 2015

NPI status registered as active in NPPES database

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Updated Practice Location September 01, 2015

Registered at 1141 NE DIVISION ST, GRESHAM, OR 970305726 (Tel: 5033286973)

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Updated Business Mailing Address September 01, 2015

Registered at 1141 NE DIVISION ST, GRESHAM, OR 970305726 (Tel: 5033286973)

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Organization / Clinic Name Updated September 01, 2015

Operating as ADDICTIONS NORTHWEST, LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 01, 2015

Community/Behavioral Health

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Initial NPI Registration & Enumeration March 26, 2013

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1013259225

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: March 26, 2013

Last Update: September 01, 2015

Update or Correct Listing

Mailing Address

1141 Ne Division St

Gresham, OR 970305726

Phone: 5033286973

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.