Pacific Crest Trail Detox LLC
NPI 1043760838 · Substance Abuse Rehabilitation Facility · Milwaukie, OR
Pacific Crest Trail Detox LLC is a Substance Abuse Rehabilitation Facility organization in Milwaukie, OR (NPI 1043760838).
Provider details
- NPI number
- 1043760838
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Benjamin Randolph, Ceo(503) 901-1836
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-10-05
- Last updated
- 2016-10-05
Frequently asked questions
- What is Pacific Crest Trail Detox LLC's NPI number?
- Pacific Crest Trail Detox LLC's National Provider Identifier (NPI) is 1043760838, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pacific Crest Trail Detox LLC?
- Pacific Crest Trail Detox LLC is classified in the NPPES registry as Substance Abuse Rehabilitation Facility (Residential Treatment Facilities).
- Where is Pacific Crest Trail Detox LLC located?
- Pacific Crest Trail Detox LLC's practice location on file with NPPES is 7708 Se Clackamas Rd, Milwaukie, OR 97267-4405.
- What is Pacific Crest Trail Detox LLC's phone number?
- The practice phone number listed in the NPPES registry for Pacific Crest Trail Detox LLC is (503) 908-8875.
- Who is the authorized official for Pacific Crest Trail Detox LLC?
- The authorized official listed on Pacific Crest Trail Detox LLC's NPPES record is Benjamin Randolph, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pacific Crest Trail Detox LLC's NPI active?
- Yes — Pacific Crest Trail Detox LLC's NPI (1043760838) is active in the NPPES registry as of the last update on 2016-10-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.