POLK COUNTY ALCOHOL AND DRUG
NPI 1720013071
Counselor - Addiction (Substance Use Disorder) in Dallas, OR

Active since July 12, 2006
182 SW ACADEMY, SUITE #304, DALLAS, OR 97338(503) 623-9289(503) 831-1726 Get Directions Write a Review

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

About Polk County Alcohol And Drug NPPES

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

POLK COUNTY ALCOHOL AND DRUG (NPI 1720013071) is a healthcare organization registered as an addiction (substance use disorder) in Dallas, Oregon and active in the NPI registry since July 2006. The organization lists Greg P Hansen, Polk County Administrative Officer, as its authorized official.

NPPES Registry Identity

NPI1720013071
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NamePOLK COUNTY ALCOHOL AND DRUG
Location Address182 SW ACADEMY, SUITE #304Dallas, OR 97338-1922
Mailing Address182 Sw Academy St, Suite #310 Polk County Alcohol And DrugDallas, OR 97338-1922 · (503) 623-9317 · Fax (503) 623-2731
Fax(503) 831-1726
Organization SubpartNo
Authorized OfficialGreg P HansenPolk County Administrative Officer · (503) 623-8173
Enumeration DateJuly 12, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1720013071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in OR · CERTIFICATE OF APPRO
182 SW ACADEMY, Dallas, OR 97338

Other Identifiers 1

Medicaid132001OR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Psychiatry & Neurology (Psychiatry)
182 SW ACADEMY, SUITE 304
DALLAS, OR 97338
Counselor (Professional)
182 SW ACADEMY
DALLAS, OR 97338

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 Polk County Alcohol And Drug's NPI number?

The NPI number for Polk County Alcohol And Drug is 1720013071. It was assigned to this organization in the NPPES registry on July 12, 2006.

Where is Polk County Alcohol And Drug located?

Polk County Alcohol And Drug is located at 182 SW Academy Suite #304, Dallas, OR 97338. The listed phone number is (503) 623-9289.

What is Polk County Alcohol And Drug's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Polk County Alcohol And Drug 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.