Ortc, LLC

Methadone Clinic · Bend, OR

Organization Active NPI

NPI number 1366953861

Practice location

155 NE Revere Ave Ste 150
Bend, OR 97701-4147
Phone
(541) 617-4544
Fax
(541) 749-2126

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NPI record

NPI
1366953861
Entity type
Organization (Type 2)
Enumeration date
October 24, 2017
Last updated
September 16, 2021
Certified
September 16, 2021
Organization subpart
Yes
Parent organization
Bend Treatment Center

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Methadone Clinic Primary 261QM2800X — —
Addiction Medicine (Internal Medicine) Physician 207RA0401X — —
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X — —

Authorized official

Name
Dana Jorgensen
Title
Authorized Official
Phone
(541) 322-1794

Other practice locations (1)

  • 118 SW 20th St Ste 3&4, Pendleton, OR 97801-1804 · (541) 617-4544

About Ortc, LLC

Ortc, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Methadone Clinic (code 261QM2800X). The practice location is 155 NE Revere Ave Ste 150, Bend, OR 97701-4147. The NPI number 1366953861 was assigned on October 24, 2017 and the record was last updated on September 16, 2021.

The authorized official for this organization is Dana Jorgensen, Authorized Official.

Frequently asked questions

What is the NPI number of Ortc, LLC?

The NPI number is 1366953861.

What is the phone number of Ortc, LLC?

The phone number listed for the practice location is (541) 617-4544.

Where is Ortc, LLC located?

155 NE Revere Ave Ste 150, Bend, OR 97701-4147.

What is the taxonomy code for Ortc, LLC?

The primary taxonomy code is 261QM2800X – Methadone Clinic; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.