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PROFESSIONAL THERAPUETIC COMMUNITY NETWORK
NPI 1548636079
Residential Treatment Facility, Emotionally Disturbed Children in Salem, OR

Active since August 19, 2015
2905 RIVER RD S, SALEM, OR 97302(503) 391-7175 Get Directions Write a Review

NPPES record last updated: August 19, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Professional Therapuetic Community Network NPPES

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

PROFESSIONAL THERAPUETIC COMMUNITY NETWORK (NPI 1548636079) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Salem, Oregon and active in the NPI registry since August 2015. The organization lists Jessse L Watson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1548636079
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NamePROFESSIONAL THERAPUETIC COMMUNITY NETWORK
Location Address2905 RIVER RD SSalem, OR 97302-9754
Mailing Address2905 River Rd SSalem, OR 97302-9754 · (503) 391-7175
Phone(503) 391-7175
Organization SubpartNo
Authorized OfficialJessse L WatsonCeo · (503) 391-7175
Enumeration DateAugust 19, 2015
✔ NPI 1548636079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
2905 RIVER RD S, Salem, OR 97302
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Other Identifiers 1

Medicaid500657056OR

Other Providers at the Same Location NPPES 20

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

BABAK ZOLFAGHARI-AZAR MS, QMHP
Behavior Analyst
2905 RIVER RD S
SALEM, OR 97302
Marion County (503) 602-0545
MRS. CINDY WEBB A.A.S.,
Counselor (Mental Health)
2905 RIVER RD S
SALEM, OR 97302
Marion County (503) 391-7175
MARINA BEDNAROWSKI
Counselor (Mental Health)
2905 RIVER RD S
SALEM, OR 97302
Marion County (503) 391-7175
BRYNN PYPER MA
Counselor (Mental Health)
2905 RIVER RD S
SALEM, OR 97302
Marion County (503) 391-7175
DR. JEREMY WILSON KENNEY PH.D.
Psychologist (Clinical)
2905 RIVER RD S
SALEM, OR 97302
Marion County (971) 258-7993
SARAI TORRES
Counselor (Mental Health)
2905 RIVER RD S
SALEM, OR 97302
Marion County (503) 391-7175
JESUS HERNANDEZ
Counselor (Mental Health)
2905 RIVER RD S
SALEM, OR 97302
Marion County (503) 391-7175
EMILY ALCARAZ
Counselor (Mental Health)
2905 RIVER RD S
SALEM, OR 97302
Marion County (503) 391-7175

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 Professional Therapuetic Community Network's NPI number?

The NPI number for Professional Therapuetic Community Network is 1548636079. It was assigned to this organization in the NPPES registry on August 19, 2015.

Where is Professional Therapuetic Community Network located?

Professional Therapuetic Community Network is located at 2905 River Rd S, Salem, OR 97302. The listed phone number is (503) 391-7175.

What is Professional Therapuetic Community Network's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Professional Therapuetic Community Network was last updated on August 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.