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Organization

SPRINGFIELD TREATMENT CENTER

Active
Parent organization
ORTC LLC
Other names
SPRINGFIELD TREATMENT CENTER
Organization subpart
Yes

Provider details

NPI number
Legal business name
ORTC LLC
Authorized official
MATTHEW OWEN (AUTHORIZED OFFICIAL)
(541) 653-8284
Entity
Organization

Contact information

Practice address
1485 MARKET ST, SPRINGFIELD, OR 97477-3337
(541) 653-8284
Mailing address
1485 MARKET ST, SPRINGFIELD, OR 97477-3337
(541) 653-8284

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
RO0507650
OR
261QM2800X
Methadone Clinic
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38D2134656
OR
Enumeration date
10/13/2017
Last updated
07/29/2022
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