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UMATILLA COUNTY ALCOHOL & DRUG PROGRAM
NPI 1629127584
Community/Behavioral Health in Pendleton, OR

Active since January 09, 2007CLIA Certified · 2 labs
200 SE HAILEY AVE, SUITE 203, PENDLETON, OR 97801(541) 278-6330(541) 278-5419 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Umatilla County Alcohol & Drug Program NPPES

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

UMATILLA COUNTY ALCOHOL & DRUG PROGRAM (NPI 1629127584), doing business as Umatilla County, is a healthcare organization registered as a community/behavioral health in Pendleton, Oregon and active in the NPI registry since January 2007. The organization holds 2 active CLIA laboratory certificates and lists Cr Mason, Program Administration, as its authorized official.

NPPES Registry Identity

NPI1629127584
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameUMATILLA COUNTY ALCOHOL & DRUG PROGRAM
Location Address200 SE HAILEY AVE, SUITE 203Pendleton, OR 97801-3073
Mailing Address200 Se Hailey Ave, Suite 203Pendleton, OR 97801-3073 · (541) 278-6330 · Fax (541) 278-5419
Phone(541) 278-6330
Fax(541) 278-5419
Organization SubpartNo
Authorized OfficialCr MasonProgram Administration · (541) 278-6330
Enumeration DateJanuary 9, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1629127584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
200 SE HAILEY AVE, Pendleton, OR 97801
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Other Names 1

Former Legal Business NameUmatilla County

Other Identifiers 1

Medicaid184028OR

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 38D0992782

Umatilla County Jail · Pendleton, OR
Active · expires Oct 24, 2027
CLIA Number38D0992782
Laboratory TypePrison
Certificate Effective DateOctober 25, 2025
Certificate Expiration DateOctober 24, 2027
Laboratory DirectorStephanie Ridgely
Laboratory Phone(541) 966-3690
Laboratory LocationUmatilla County Jail4700 NW Pioneer Place, Pendleton, OR 97801
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 38D0666428

Umatilla County Health Department · Pendleton, OR
Active · expires Mar 12, 2027
CLIA Number38D0666428
Laboratory TypeCounty
Certificate Effective DateMarch 13, 2025
Certificate Expiration DateMarch 12, 2027
Laboratory DirectorDeborah Woodbury
Laboratory Phone(541) 278-5432
Laboratory LocationUmatilla County Health Department200 SE 3rd St, Pendleton, OR 97801
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.

LYNNE LINDBERG LCSW
Social Worker (Clinical)
200 SE HAILEY AVE
PENDLETON, OR 97801
Umatilla County (541) 429-8844
BETTY ANN JENSEN CADC II
Counselor (Addiction (Substance Use Disorder))
200 SE HAILEY AVE
PENDLETON, OR 97801
Umatilla County (541) 962-0162
REDEMPTION LIFE SERVICES
Substance Abuse Rehabilitation Facility
200 SE HAILEY AVE
PENDLETON, OR 97801
Umatilla County (541) 612-0506
ROBERT MARC CLARK LCSW LICENSED CLINIC
Social Worker (Clinical)
200 SE HAILEY AVE, SUITE 301
PENDLETON, OR 97801
Umatilla County (541) 276-4017
FRANCINE CLAIRE GOAD CRM, CADC-R
Peer Specialist
200 SE HAILEY AVE
PENDLETON, OR 97801
Umatilla County (541) 429-8844
DR. CONSTANCE UMPHRED PH.D
Psychologist
200 SE HAILEY AVE, STE 204
PENDLETON, OR 97801
Umatilla County (541) 962-0162
VALENTIN PALOMARES CRM
Peer Specialist
200 SE HAILEY AVE
PENDLETON, OR 97801
Umatilla County (541) 238-7730

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 Umatilla County Alcohol & Drug Program's NPI number?

The NPI number for Umatilla County Alcohol & Drug Program is 1629127584. It was assigned to this organization in the NPPES registry on January 9, 2007. The provider was formerly known as Umatilla County.

Where is Umatilla County Alcohol & Drug Program located?

Umatilla County Alcohol & Drug Program is located at 200 SE Hailey Ave Suite 203, Pendleton, OR 97801. The listed phone number is (541) 278-6330.

What is Umatilla County Alcohol & Drug Program's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does Umatilla County Alcohol & Drug Program 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.

When was this NPI record last updated?

The NPPES record for Umatilla County Alcohol & Drug Program was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.