OREGON DEPARTMENT OF CORRECTIONS
NPI 1659721397
Preferred Provider Organization in Tualatin, OR

Active since June 14, 2016
17734 SW SHASTA TRL, TUALATIN, OR 97062(503) 691-1718 Get Directions Write a Review

NPPES record last updated: June 14, 2016. Verified against the NPPES registry weekly; last sync: July 26, 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 1659721397) is a healthcare organization registered as a preferred provider organization in Tualatin, Oregon and active in the NPI registry since June 2016. The organization lists Linn Rey Menzie, Bhs Program Manager, as its authorized official.

NPPES Registry Identity

NPI1659721397
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameOREGON DEPARTMENT OF CORRECTIONS
Location Address17734 SW SHASTA TRLTualatin, OR 97062-8455
Mailing Address17734 Sw Shasta TrlTualatin, OR 97062-8455 · (503) 691-1718
Organization SubpartNo
Authorized OfficialLinn Rey MenzieBhs Program Manager · (503) 280-6646
Enumeration DateJune 14, 2016
NPI 1659721397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License Licensed in OR · L4861
Definition

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

17734 SW SHASTA TRL, Tualatin, OR 97062

Other Providers at the Same Location NPPES

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

Social Worker (Clinical)
17734 SW SHASTA TRL
TUALATIN, OR 97062

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 1659721397. It was assigned to this organization in the NPPES registry on June 14, 2016.

Where is Oregon Department Of Corrections located?

Oregon Department Of Corrections is located at 17734 SW Shasta Trl, Tualatin, OR 97062. The listed phone number is (503) 691-1718.

What is Oregon Department Of Corrections's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for Oregon Department Of Corrections was last updated on June 14, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.