CHAISE GROUP, LLC
NPI 1063962579
Clinic/Center - Rehabilitation, Substance Use Disorder in Clackamas, OR
- Organization
- Clinic/Center
- Rehabilitation, Substance Use Disorder
- CLIA Number: 38D2036209
- CLIA Cert. Type: Practitioner Other
- CLIA Exp. Date: 10-06-2026
About CHAISE GROUP, LLC
This page provides the complete NPI Profile along with additional information for Chaise Group, Llc, a provider established in Clackamas, Oregon operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1063962579 assigned on October 2016. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated June 2026. Chaise Group, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Michelle L Krummenacker (Ceo)
- NPI
- 1063962579 Verify this NPI
- Provider Name
- CHAISE GROUP, LLC
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 9123 SE SAINT HELENS ST STE 100F CLACKAMAS, OR 97015
- Location Phone
- (503) 740-1971
- Location Fax
- (503) 771-2436
- Mailing Address
- 10117 SE SUNNYSIDE RD # F1217 CLACKAMAS, OR 97015
- Mailing Phone
- (503) 740-1971
- Mailing Fax
- (503) 771-2436
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-07-2016
- Last Update Date
- 06-01-2026
- Code Navigator
Location Map
Secondary Locations
- 10117 SE Sunnyside Rd # F1217
Clackamas, OR 97015
(503) 740-1971 - 1217 NE Burnside Rd Ste 701
Gresham, OR 97030
(503) 740-1971
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Rehabilitation, Substance Use Disorder
- Taxonomy Code
- 261QR0405X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | L3197 (OR) |
| 3 | 103TA0400X | Behavioral Health & Social Service Providers | Psychologist | |
| 4 | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | |
| 5 | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center | |
| 6 | 324500000X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 38D2036209
- Facility Type
- Practitioner Other
- Certificate Effective Date
- October 07, 2024
- Certificate Expiration Date
- October 06, 2026
- Laboratory Director
- MICHELLE KRUMMENACKER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Chaise Group, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for CHAISE GROUP, LLC
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Other Providers at the Same Location
The following 8 providers are registered at the same or a nearby location.
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063962579, enumerated as an "organization" on October 07, 2016.
The provider is located at 9123 SE SAINT HELENS ST STE 100F CLACKAMAS, OR 97015 and the phone number is (503) 740-1971.
Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.
