OREGON DEPARTMENT OF CORRECTIONS
NPI 1881418176
Clinic/Center - Prison Health in Wilsonville, OR

Active since November 13, 2024
24499 SW GRAHAMS FERRY RD, WILSONVILLE, OR 97070(503) 428-9443 Get Directions Write a Review

NPPES record last updated: November 13, 2024. 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 1881418176) is a healthcare organization registered as a prison health in Wilsonville, 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

NPI1881418176
Entity TypeOrganization
Primary Taxonomy261QP2400X
Legal Business NameOREGON DEPARTMENT OF CORRECTIONS
Location Address24499 SW GRAHAMS FERRY RDWilsonville, OR 97070
Mailing Address2757 22nd St SeSalem, OR 97302
Organization SubpartYes
Authorized OfficialRob Cory NuttChief Pharmacy Officer · (503) 986-6967
Enumeration DateNovember 13, 2024
NPI 1881418176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Prison HealthAmbulatory Health Care Facilities
Taxonomy Code261QP2400X
24499 SW GRAHAMS FERRY RD, Wilsonville, OR 97070

Other Names 1

Other NameCoffee Creek Correctional Facility

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.

Nurse Practitioner (Family)
24499 SW GRAHAMS FERRY RD
WILSONVILLE, OR 97070
Case Manager/Care Coordinator
24499 SW GRAHAMS FERRY RD
WILSONVILLE, OR 97070
Social Worker (Clinical)
24499 SW GRAHAMS FERRY RD
WILSONVILLE, OR 97070
Counselor (Addiction (Substance Use Disorder))
24499 SW GRAHAMS FERRY RD
WILSONVILLE, OR 97070
Counselor (Mental Health)
24499 SW GRAHAMS FERRY RD
WILSONVILLE, OR 97070
Counselor (Mental Health)
24499 SW GRAHAMS FERRY RD
WILSONVILLE, OR 97070
Doula
24499 SW GRAHAMS FERRY RD
WILSONVILLE, OR 97070
Case Manager/Care Coordinator
24499 SW GRAHAMS FERRY RD
WILSONVILLE, OR 97070

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 1881418176. It was assigned to this organization in the NPPES registry on November 13, 2024. The provider is also known as Coffee Creek Correctional Facility.

Where is Oregon Department Of Corrections located?

Oregon Department Of Corrections is located at 24499 SW Grahams Ferry Rd, Wilsonville, OR 97070. 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 with the weekly NPPES data releases published by CMS.