Organization
NATIVE AMERICAN REHABILITATION ASSOC INC
Active
Other names
NARA NW-RESIDENTIAL TREATMENT CENTER, NARA NW-Residential, NATIVE AMERICAN REHABILITATION ASSOCIATION OF THE NORTHWEST, INC., Native American Rehab Assoc, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SARAH AYERS (CREDENTIALING SPECIALIST)
(503) 367-9089
Entity
Organization
Contact information
Practice address
17645 NW SAINT HELENS RD, PORTLAND, OR 97231-1729
(503) 621-1069
(503) 621-0200
Mailing address
211 SE CARUTHERS ST, PORTLAND, OR 97214-4502
(503) 224-1044
(971) 260-0355
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
700032
OR
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126370
—
OR
Enumeration date
10/20/2005
Last updated
03/11/2025
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