OrganizationActive
Madrona Recovery Washington LLC
NPI 1174352975 · Psychiatric Residential Treatment Facility · Brush Prairie, WA
Provider details
- NPI number
- 1174352975
- Entity type
- Organization
- Primary specialty
- Psychiatric Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Micah Braithwaite, Cfo/Coo(503) 749-0200
Specialties & taxonomies
Residential Treatment Facilities
- Substance Abuse Rehabilitation Facility324500000X
Residential Treatment Facilities
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
11910 Ne 154th St
Brush Prairie, WA 98606-9571
Phone: (503) 749-2000
Street-level locationGet directions
Mailing address
7000 Sw Varns St
Portland, OR 97223-8145
Other names (DBA / former)
- Doing business as
- Madrona Recovery Washington
Registry dates
- Enumerated
- 2024-07-30
- Last updated
- 2024-07-30
- Certified
- 2024-07-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.