Organization
OREGON TRAIL RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS HEATHER CURRAN BOWLER LCSW (LCSW)
(971) 336-0669
Entity
Organization
Contact information
Practice address
10600 SE MCLOUGHLIN BLVD, 200, MILWAUKIE, OR 97222-7428
(503) 901-1836
Mailing address
12074 SW WINDMILL DR, BEAVERTON, OR 97008-7071
(855) 770-0577
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
L6923
OR
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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