OREGON TRAIL RECOVERY LLC
NPI 1881010502
Clinic/Center - Rehabilitation, Substance Use Disorder in Milwaukie, OR

Active since March 06, 2014
10600 SE MCLOUGHLIN BLVD, STE 207, MILWAUKIE, OR 97222(503) 901-1836 Get Directions Write a Review

NPPES record last updated: April 28, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Oregon Trail Recovery Llc NPPES

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

OREGON TRAIL RECOVERY LLC (NPI 1881010502), doing business as Clean Adventures Of Oregon, is a healthcare organization registered as a rehabilitation, substance use disorder in Milwaukie, Oregon and active in the NPI registry since March 2014. The organization lists Benjamin Randolph, Owner, as its authorized official.

NPPES Registry Identity

NPI1881010502
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameOREGON TRAIL RECOVERY LLC
Location Address10600 SE MCLOUGHLIN BLVD, STE 207Milwaukie, OR 97222-7428
Mailing Address10600 Se Mcloughlin Blvd, Ste 207Milwaukie, OR 97222-7428
Organization SubpartNo
Authorized OfficialBenjamin RandolphOwner · (503) 901-1836
Enumeration DateMarch 6, 2014
Last NPPES UpdateApril 28, 2015
NPI 1881010502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
10600 SE MCLOUGHLIN BLVD, Milwaukie, OR 97222

Other Names 1

Former Legal Business NameClean Adventures Of Oregon

Accepted Insurance

Other Providers at the Same Location NPPES 14

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

Specialist
10600 SE MCLOUGHLIN BLVD, SUITE 206
MILWAUKIE, OR 97222
Chiropractor
10600 SE MCLOUGHLIN BLVD, STE 101
MILWAUKIE, OR 97222
Physical Therapist
10600 SE MCLOUGHLIN BLVD, SUITE 202
MILWAUKIE, OR 97222
Physical Therapist
10600 SE MCLOUGHLIN BLVD, SUITE 202
MILWAUKIE, OR 97222
Massage Therapist
10600 SE MCLOUGHLIN BLVD, SUITE 206
MILWAUKIE, OR 97222
In Home Supportive Care
10600 SE MCLOUGHLIN BLVD, SUITE 212
MILWAUKIE, OR 97222
Massage Therapist
10600 SE MCLOUGHLIN BLVD, SUITE 102
MILWAUKIE, OR 97222
Occupational Therapist
10600 SE MCLOUGHLIN BLVD, STE 202
MILWAUKIE, OR 97222

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881010502, enumerated as an "organization" on March 06, 2014.

The provider is located at 10600 SE MCLOUGHLIN BLVD STE 207 MILWAUKIE, OR 97222 and the phone number is (503) 901-1836.

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.

The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.,. Please consult your insurance carrier or call the provider to verify.