| Umatilla County Alcohol & Drug Program | |
|
200 Se Hailey Ave Suite 203 Pendleton OR 97801-3073 | |
| (541) 278-6330 | |
| (541) 278-5419 |
| Full Name | Umatilla County Alcohol & Drug Program |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 200 Se Hailey Ave, Pendleton, Oregon |
| Authorized Official Name and Position | Cr Mason (PROGRAM ADMINISTRATION) |
| Authorized Official Contact | 5412786330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Umatilla County Alcohol & Drug Program 200 Se Hailey Ave Suite 203 Pendleton OR 97801-3073 Ph: (541) 278-6330 | Umatilla County Alcohol & Drug Program 200 Se Hailey Ave Suite 203 Pendleton OR 97801-3073 Ph: (541) 278-6330 |
| NPI Number | 1629127584 |
|---|---|
| Provider Enumeration Date | 01/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629127584 | NPI | - | NPPES |
| 184028 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Oregon) | Primary |
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