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HAZELDEN BETTY FORD FOUNDATION
NPI 1063738185
Clinic/Center - Mental Health (Including Community Mental Health Center) in Beaverton, OR

Active since April 14, 2010CLIA Certified · 2 labs
6600 SW 105TH AVE STE 120, BEAVERTON, OR 97008(800) 257-7800 Get Directions Write a Review

NPPES record last updated: February 11, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 16, 2025, Mar 6, 2025 (2 updates tracked since 2025).

About Hazelden Betty Ford Foundation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HAZELDEN BETTY FORD FOUNDATION (NPI 1063738185), doing business as Hazelden Beaverton, is a healthcare organization registered as a mental health (including community mental health center) in Beaverton, Oregon and active in the NPI registry since April 2010. The organization holds 2 active CLIA laboratory certificates and lists Ashley Gibson, Vp Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1063738185
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameHAZELDEN BETTY FORD FOUNDATION
Location Address6600 SW 105TH AVE STE 120Beaverton, OR 97008-8800
Mailing Address15251 Pleasant Valley RdCenter City, MN 55012-9640 · (800) 257-7800
Phone(800) 257-7800
Organization SubpartNo
Authorized OfficialAshley GibsonVp Payer Relations · (651) 213-4519
Enumeration DateApril 14, 2010
Last NPPES UpdateFebruary 11, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2026
✔ NPI 1063738185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
6600 SW 105TH AVE STE 120, Beaverton, OR 97008
Open in Google Maps ↗

Other Names 2

Doing Business AsHazelden Beaverton
Former Legal Business NameHealthworks, Nw

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BridgeSpan Health Company, Kaiser Permanente and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D0888761

Hazelden Betty Ford Foundation · Center City, MN
Active · expires Jul 12, 2028
CLIA Number24D0888761
Laboratory TypeTreatnment Center
Certificate Effective DateJuly 13, 2026
Certificate Expiration DateJuly 12, 2028
Laboratory DirectorAlta Deroo
Laboratory Phone(651) 213-4157
Laboratory LocationHazelden Betty Ford Foundation15245 Pleasant Valley Road, Center City, MN 55012
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 38D2083785

Hazelden Betty Ford Foundation Beaverton · Beaverton, OR
Active · expires Sep 10, 2026
CLIA Number38D2083785
Laboratory TypeOutpatient Substance Use
Certificate Effective DateSeptember 11, 2024
Certificate Expiration DateSeptember 10, 2026
Laboratory DirectorDr. Alta Deroo
Laboratory Phone(651) 213-4997
Laboratory LocationHazelden Betty Ford Foundation Beaverton6600 SW 105th Ave Suite 115, Beaverton, OR 97008
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUZANNE WILHOUR
Counselor (Mental Health)
6600 SW 105TH AVE STE 120
BEAVERTON, OR 97008
Washington County (971) 245-1350
MS. HILLARY L CORSON APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
6600 SW 105TH AVE STE 120
BEAVERTON, OR 97008
Washington County (971) 245-1332
SKYE ANFIELD MA, LPC-A, CADC I
Counselor
6600 SW 105TH AVE STE 120
BEAVERTON, OR 97008
Washington County (866) 210-1301
THOMAS EHNERT
Counselor (Addiction (Substance Use Disorder))
6600 SW 105TH AVE STE 120
BEAVERTON, OR 97008
Washington County (971) 245-1349
ASHLIE RUTHANNA BUSTILLOS
Counselor (Professional)
6600 SW 105TH AVE STE 120
BEAVERTON, OR 97008
Washington County (971) 245-1362
ANDREA REDEAU
Counselor (Professional)
6600 SW 105TH AVE STE 120
BEAVERTON, OR 97008
Washington County (971) 245-1338
MR. ANDREW RANGEL CADC II, LCSW
Counselor (Addiction (Substance Use Disorder))
6600 SW 105TH AVE STE 120
BEAVERTON, OR 97008
Washington County (971) 245-1332

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hazelden Betty Ford Foundation's NPI number?

The NPI number for Hazelden Betty Ford Foundation is 1063738185. It was assigned to this organization in the NPPES registry on April 14, 2010. The provider is doing business as Hazelden Beaverton. The provider was formerly known as HealthWorks, NW.

Where is Hazelden Betty Ford Foundation located?

Hazelden Betty Ford Foundation is located at 6600 SW 105th Ave Ste 120, Beaverton, OR 97008. The listed phone number is (800) 257-7800.

What is Hazelden Betty Ford Foundation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Does Hazelden Betty Ford Foundation hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Hazelden Betty Ford Foundation accept?

Health plans from Anthem Blue Cross and Blue Shield, BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and PacificSource Health Plans and 3 other insurers list Hazelden Betty Ford Foundation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Hazelden Betty Ford Foundation was last updated on February 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.