# DEPT. OF HUMAN SRVCS/OFFICE OF FIN. SRVCS DBA: IRS/EOPC/EOTC/OSH/OSH-P

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Eastern Oregon Training Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720023807
- **Authorized official:** RUSSELL R. KITTRELL (INSTITUTIONAL REVENUE SECTION MGR.)
- **Authorized official phone:** (503) 945-9440

## Contact information

- **Practice address:** 2525 WESTGATE, PENDLETON, OR 97801-9613
- **Practice address phone:** (541) 276-0820
- **Practice address fax:** (541) 276-1147
- **Mailing address:** PO BOX 14900, SALEM, OR 97309-5016
- **Mailing address phone:** (503) 945-9469
- **Mailing address fax:** (503) 947-1007

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 6021 | OR | Yes |

## Other

- **Enumeration date:** 06/20/2006
- **Last updated:** 09/21/2007