OrganizationActive
Oregon Department of Corrections
NPI 1659721397 · Preferred Provider Organization · Tualatin, OR
Provider details
- NPI number
- 1659721397
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Linn Menzie, Bhs Program Manager(503) 280-6646
- License
- L4861 (OR)
Specialties & taxonomies
Managed Care Organizations
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
17734 Sw Shasta Trl
Tualatin, OR 97062-8455
Phone: (503) 691-1718
Street-level locationGet directions
Mailing address
17734 Sw Shasta Trl
Tualatin, OR 97062-8455
Registry dates
- Enumerated
- 2016-06-14
- Last updated
- 2016-06-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.