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Active NPI 1467395442 Organization (Entity Type 2)

Creating Conquerors

Counselor - Addiction (Substance Use Disorder) • Pendleton, OR

About Creating Conquerors NPI 1467395442 Summary

Creating Conquerors is a verified healthcare organization specializing in Counselor - Addiction (Substance Use Disorder) operating in Pendleton, OR. Located at 200 SW HAILEY AVE, this facility provides patient care and medical services under National Provider Identifier (NPI) 1467395442.

Administrative operations and authorized compliance are overseen by Karl Arndt (Founder & Ceo).

Facility Location & Contact Primary Location

Facility Address

200 Sw Hailey Ave

Pendleton, OR 97801

Telephone 5415611613

Authorized Official Information

Authorized Contact Name

Karl Arndt , CADC III, CPS

Title / Role

Founder & Ceo

Official Telephone

5415611613

Facility Classifications & Specialties

Counselor - Addiction (Substance Use Disorder) Primary Taxonomy

NUCC Taxonomy Code: 101YA0400X

Definition to come...

Facility & Registry History Timeline

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

6 Historical Events
NPI Profile Active April 13, 2026

NPI status registered as active in NPPES database

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Updated Practice Location April 13, 2026

Registered at 200 SW HAILEY AVE, PENDLETON, OR 97801 (Tel: 5415611613)

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Updated Business Mailing Address April 13, 2026

Registered at 71687 SW LAKE DR, PENDLETON, OR 978019578 (Tel: 5415611613)

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Organization / Clinic Name Updated April 13, 2026

Operating as CREATING CONQUERORS

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 13, 2026

Counselor

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Initial NPI Registration & Enumeration April 13, 2026

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1467395442
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: April 13, 2026
Last Update: April 13, 2026

Mailing Address

71687 Sw Lake Dr

Pendleton, OR 978019578

Phone: 5415611613

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.