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PHD
NPI 1982197182
Rehabilitation, Substance Use Disorder Unit in Otis, OR

Active since June 12, 2018
3955 SALMON RIVER HWY, OTIS, OR 97368(541) 720-4636(888) 977-2106 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phd NPPES

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

PHD (NPI 1982197182) is a healthcare organization registered as a rehabilitation, substance use disorder unit in Otis, Oregon and active in the NPI registry since June 2018. The organization lists Melissa Kim Homan, Regional Director, as its authorized official.

NPPES Registry Identity

NPI1982197182
Entity TypeOrganization
Primary Taxonomy276400000X
Legal Business NamePOWER HOUSE DETOX
Location Address3955 SALMON RIVER HWYOtis, OR 97368-9778
Mailing Address3955 Salmon River HwyOtis, OR 97368-9778 · (541) 720-4636 · Fax (888) 977-2106
Phone(541) 720-4636
Fax(888) 977-2106
Organization SubpartYesParent: The Power House Residential Drug Treatment Center Inc
Authorized OfficialMelissa Kim HomanRegional Director · (541) 720-4636
Enumeration DateJune 12, 2018
Last NPPES UpdateJune 16, 2018
✔ NPI 1982197182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation, Substance Use Disorder UnitHospital Units
Taxonomy Code276400000X
License✔ Licensed in OR · 700119
Definition
A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.)
3955 SALMON RIVER HWY, Otis, OR 97368
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Other Names 1

Other NamePhd

Other Identifiers 1

Medicaid500667339OR

Other Providers at the Same Location NPPES 13

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

MR. NICHOLAS JAMES IAMON RN
Registered Nurse (General Practice)
3955 SALMON RIVER HWY
OTIS, OR 97368
Lincoln County (541) 614-4437
JASMINE DEELENE CHRISTIANSEN
Counselor (Addiction (Substance Use Disorder))
3955 SALMON RIVER HWY
OTIS, OR 97368
Lincoln County (541) 614-4437
MRS. JAMAYCA JASMINE NELSON RN
Registered Nurse (Addiction (Substance Use Disorder))
3955 SALMON RIVER HWY
OTIS, OR 97368
Lincoln County (541) 614-4437
MRS. BRANDIE MARIE RANDLEMAN CIT
Counselor (Addiction (Substance Use Disorder))
3955 SALMON RIVER HWY
OTIS, OR 97368
Lincoln County (541) 614-4437
DANA RUBY VARGAS CADC-R
Counselor (Addiction (Substance Use Disorder))
3955 SALMON RIVER HWY
OTIS, OR 97368
Lincoln County (541) 614-4437
ALEXIS GRADDY
Counselor
3955 SALMON RIVER HWY
OTIS, OR 97368
Lincoln County (541) 614-4437
AMANDA MAREE FREEMAN CADC-R
Counselor (Addiction (Substance Use Disorder))
3955 SALMON RIVER HWY
OTIS, OR 97368
Lincoln County (541) 614-4437
SARAH LYNN HOSTLER
Counselor (Addiction (Substance Use Disorder))
3955 SALMON RIVER HWY
OTIS, OR 97368
Lincoln County (541) 614-4437

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 Power House Detox's NPI number?

The NPI number for Power House Detox is 1982197182. It was assigned to this organization in the NPPES registry on June 12, 2018. The provider is also known as Phd.

Where is Power House Detox located?

Power House Detox is located at 3955 Salmon River Hwy, Otis, OR 97368. The listed phone number is (541) 720-4636.

What is Power House Detox's specialty?

The primary specialty registered for this NPI is Rehabilitation, Substance Use Disorder Unit with taxonomy code 276400000X.

When was this NPI record last updated?

The NPPES record for Power House Detox was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.