Tahana Whitecrow Outpatient

LBN: Tahana Whitecrow Foundation
Tahana Whitecrow Outpatient is an health care organization with primary practice located at 2350 Wallace Rd Nw , Salem OR 97304-2127. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as the primary health care specialty. Tahana Whitecrow Foundation can be contacted via phone (503) 585-0564, or through Smith, Melanie Mae via phone (503) 585-0564.

Contact Information

Primary practice address
2350 Wallace Rd Nw Salem OR 97304-2127
Phone: (503) 585-0564
Fax: (503) 585-3302
Website:
Map and Directions
Authorized official contact:
Name: Smith, Melanie Mae CADCII NCACI
Phone: (503) 585-0564

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X Oregon

Profile Details

NPI number 1356322713
LBN Legal business name Tahana Whitecrow Foundation
DBA Doing business as Tahana Whitecrow Outpatient
Authorized official Smith, Melanie Mae CADCII NCACI
Entity Organization
Organization subpart 1 No
Enumeration date Nov 10th, 2005
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356322713 NPPES
Oregon MEDICAID 132832

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