Organization
CODA, INC.
Active
Other names
Comprehensive Options for Drug Abusers, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY T. HARTNETT (EXECUTIVE DIRECTOR)
(503) 239-8400
Entity
Organization
Contact information
Practice address
1027 E BURNSIDE ST, PORTLAND, OR 97214-1328
(503) 239-8400
(503) 239-8407
Mailing address
1027 E BURNSIDE ST, PORTLAND, OR 97214-1328
(503) 239-8400
(503) 239-8407
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
NONE ASSIGNED
OR
101YM0800X
Mental Health Counselor
NONE ASSIGNED
OR
1041C0700X
Clinical Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
NONE ASSIGNED
OR
251B00000X
Case Management Agency
NONE ASSIGNED
OR
261QM0850X
Adult Mental Health Clinic/Center
NONE ASSIGNED
OR
261QM2800X
Methadone Clinic
NONE ASSIGNED
OR
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
NONE ASSIGNED
OR
320800000X
Mental Illness Community Based Residential Treatment Facility
NONE ASSIGNED
OR
324500000X
Substance Abuse Rehabilitation Facility
Primary
NONE ASSIGNED
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028144
—
OR
05
—
154948
—
OR
Enumeration date
12/20/2006
Last updated
06/21/2018
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