TELECARE RECOVERY CENTER AT WOODBURN
NPI 1073601647
Psychiatric Residential Treatment Facility in Woodburn, OR

Active since October 10, 2006CLIA 38D2035146 · Waiver
1605 E LINCOLN RD, WOODBURN, OR 97071(503) 982-9300(503) 982-9306 Get Directions Write a Review

NPPES record last updated: May 16, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 16, 2023, Feb 9, 2017 (2 updates tracked since 2017).

About Telecare Recovery Center At Woodburn NPPES

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

TELECARE RECOVERY CENTER AT WOODBURN (NPI 1073601647) is a healthcare organization registered as a psychiatric residential treatment facility in Woodburn, Oregon and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through January 10, 2028 and lists Lorena Lopez, Provider Relations Supervisor, as its authorized official.

NPPES Registry Identity

NPI1073601647
Entity TypeOrganization
Primary Taxonomy323P00000X
Legal Business NameTELECARE MENTAL HEALTH SERVICES OF OREGON, INC
Location Address1605 E LINCOLN RDWoodburn, OR 97071-5137
Mailing Address1080 Marina Village Pkwy, Suite 100Alameda, CA 94501-1078 · (510) 337-7950
Fax(503) 982-9306
Organization SubpartNo
Authorized OfficialLorena LopezProvider Relations Supervisor · (510) 337-7950
Enumeration DateOctober 10, 2006
Last NPPES UpdateMay 16, 20232 updates tracked since enumeration
NPPES CertifiedMay 16, 2023
✔ NPI 1073601647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatric Residential Treatment FacilityResidential Treatment Facilities
Taxonomy Code323P00000X
Definition
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
1605 E LINCOLN RD, Woodburn, OR 97071

Other Names 1

Doing Business AsTelecare Recovery Center At Woodburn

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Telecare Recovery Center At Woodburn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Telecare Recovery Center At Woodburn, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (7)

Nurse Practitioner
NPI 1629494018
5200 SW MACADAM AVE STE 580
Portland, OR 97239
(503) 231-7854
✔ PECOS✔ Accepts Medicare25 mi
Psychiatry
NPI 1275636680
818 NW 17TH AVE SUITE #8
Portland, OR 97209
(503) 764-1551
✔ PECOS✔ Accepts Medicare28 mi
Psychiatry
NPI 1912963299
55 NE GRAND AVE
Portland, OR 97232
(503) 232-1099
✔ PECOS28 mi
Clinical Social Worker
NPI 1427868546
4101 NE DIVISION ST
Gresham, OR 97030
(503) 666-6575
✔ PECOS✔ Accepts Medicare33 mi
Nurse Practitioner
NPI 1407802341
4101 NE DIVISION ST
Gresham, OR 97030
(503) 666-6575
✔ PECOS✔ Accepts Medicare33 mi
Psychiatry
NPI 1003522319
62635 NW MT THIELSEN DR UNIT 1
Bend, OR 97703
(503) 928-0226
✔ PECOS✔ Accepts Medicare103 mi
Psychiatry
NPI 1174840615
2577 NE COURTNEY DR
Bend, OR 97701
(541) 322-7500
✔ PECOS107 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

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 38D2035146

Telecare Recovery Center At Woodburn · Woodburn, OR
Active · expires Jan 10, 2028
CLIA Number38D2035146
Laboratory TypeResidential Facility
Certificate Effective DateJanuary 11, 2026
Certificate Expiration DateJanuary 10, 2028
Laboratory DirectorMatthew Bailey
Laboratory Phone(503) 982-9300
Laboratory LocationTelecare Recovery Center At Woodburn1605 E Lincoln Road, Woodburn, OR 97071
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Telecare Mental Health Services Of Oregon, Inc's NPI number?

The NPI number for Telecare Mental Health Services Of Oregon, Inc is 1073601647. It was assigned to this organization in the NPPES registry on October 10, 2006. The provider is doing business as Telecare Recovery Center At Woodburn.

Where is Telecare Mental Health Services Of Oregon, Inc located?

Telecare Mental Health Services Of Oregon, Inc is located at 1605 E Lincoln Rd, Woodburn, OR 97071. The listed phone number is (503) 982-9300.

What is Telecare Mental Health Services Of Oregon, Inc's specialty?

The primary specialty registered for this NPI is Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.

Is Telecare Mental Health Services Of Oregon, Inc enrolled in Medicare?

Yes. Telecare Mental Health Services Of Oregon, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Telecare Mental Health Services Of Oregon, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Telecare Mental Health Services Of Oregon, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Psychiatry (4), Nurse Practitioner (2) and Clinical Social Worker (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Telecare Mental Health Services Of Oregon, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2035146) is associated with this NPI, valid through January 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Telecare Mental Health Services Of Oregon, Inc was last updated on May 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.