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OREGON DEPARTMENT OF CORRECTIONS
NPI 1609690908
Clinic/Center - Prison Health in Portland, OR

Active since November 13, 2024
9111 NE SUNDERLAND AVE, PORTLAND, OR 97211(503) 428-9443 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Oregon Department Of Corrections NPPES

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

OREGON DEPARTMENT OF CORRECTIONS (NPI 1609690908) is a healthcare organization registered as a prison health in Portland, Oregon and active in the NPI registry since November 2024. The organization lists Rob Cory Nutt, Chief Pharmacy Officer, as its authorized official.

NPPES Registry Identity

NPI1609690908
Entity TypeOrganization
Primary Taxonomy261QP2400X
Legal Business NameOREGON DEPARTMENT OF CORRECTIONS
Location Address9111 NE SUNDERLAND AVEPortland, OR 97211
Mailing Address2757 22nd St SeSalem, OR 97302
Phone(503) 428-9443
Organization SubpartYes
Authorized OfficialRob Cory NuttChief Pharmacy Officer · (503) 986-6967
Enumeration DateNovember 13, 2024
✔ NPI 1609690908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Prison HealthAmbulatory Health Care Facilities
Taxonomy Code261QP2400X
9111 NE SUNDERLAND AVE, Portland, OR 97211
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Other Names 1

Other NameColumbia River Correctional Institution

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.

MICHAEL PETER KENDER MA, M.ED
Counselor (Mental Health)
9111 NE SUNDERLAND AVE
PORTLAND, OR 97211
Multnomah County (503) 280-6646
SATOYA JOHNSON CADC II
Case Manager/Care Coordinator
9111 NE SUNDERLAND AVE
PORTLAND, OR 97211
Multnomah County (503) 238-0769
RITA JEAN HARTLLEY DMD
Dentist (Dental Public Health)
9111 NE SUNDERLAND AVE
PORTLAND, OR 97211
Multnomah County (503) 280-6646
SCOTT EUGENE ENGEL
Counselor (Addiction (Substance Use Disorder))
9111 NE SUNDERLAND AVE
PORTLAND, OR 97211
Multnomah County (503) 280-6646
LINDSAY ALANA ROZEE CHANDLER
Case Manager/Care Coordinator
9111 NE SUNDERLAND AVE
PORTLAND, OR 97211
Multnomah County (503) 280-6646
SCOTT ARTHUR LEARN
Student in an Organized Health Care Education/Training Program
9111 NE SUNDERLAND AVE
PORTLAND, OR 97211
Multnomah County (503) 280-6646
OREN JACOB SELAH
Adult Companion
9111 NE SUNDERLAND AVE
PORTLAND, OR 97211
Multnomah County (503) 280-6646
LORENA MARQUEZ GARCIA
Counselor (Addiction (Substance Use Disorder))
9111 NE SUNDERLAND AVE
PORTLAND, OR 97211
Multnomah County (503) 280-6646

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 Oregon Department Of Corrections's NPI number?

The NPI number for Oregon Department Of Corrections is 1609690908. It was assigned to this organization in the NPPES registry on November 13, 2024. The provider is also known as Columbia River Correctional Institution.

Where is Oregon Department Of Corrections located?

Oregon Department Of Corrections is located at 9111 NE Sunderland Ave, Portland, OR 97211. The listed phone number is (503) 428-9443.

What is Oregon Department Of Corrections's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Prison Health, with taxonomy code 261QP2400X.

When was this NPI record last updated?

The NPPES record for Oregon Department Of Corrections was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.