Organization
PREVENTION AND RECOVERY NORTHWEST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN-MARIE BILDERBACK (EXECUTIVE DIRECTOR)
(541) 484-9274
Entity
Organization
Contact information
Practice address
1188 OLIVE ST, EUGENE, OR 97401-3547
(541) 484-9274
(541) 484-5021
Mailing address
1188 OLIVE ST, EUGENE, OR 97401-3547
(541) 484-9274
(541) 484-5021
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165165
—
OR
Enumeration date
10/18/2006
Last updated
08/22/2020
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