Organization
ORTC, LLC
Active
Parent organization
BEND TREATMENT CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
BEND TREATMENT CENTER
Authorized official
DANA JORGENSEN (AUTHORIZED OFFICIAL)
(541) 322-1794
Entity
Organization
Contact information
Practice address
155 NE REVERE AVE STE 150, BEND, OR 97701-4147
(541) 617-4544
(541) 749-2126
Mailing address
155 NE REVERE AVE STE 150, BEND, OR 97701-4147
(541) 617-4544
(541) 749-2126
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
261QM2800X
Methadone Clinic
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38D2134657
—
OR
Enumeration date
10/24/2017
Last updated
09/16/2021
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