Organization
ORTC, LLC
Active
Other names
Bend Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATT OWEN (OWNER)
(541) 617-4544
Entity
Organization
Contact information
Practice address
155 NE REVERE AVE, BEND, OR 97701-4147
(541) 617-4544
(541) 385-4755
Mailing address
155 NE REVERE AVE, BEND, OR 97701-4147
(541) 617-4544
(541) 385-4755
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
RO0467034
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38D2081354
CLIA
—
Enumeration date
09/07/2014
Last updated
03/07/2023
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