OrganizationActive
Polk County Mental Health
NPI 1770603532 · Substance Use Disorder Rehabilitation Clinic/Center · Dallas, OR
Provider details
- NPI number
- 1770603532
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Sergio Gutierrez, Mental Health Counselor I(503) 623-9289
- License
- 00-07-15 (OR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
182 Sw Academy St Ste 304
Dallas, OR 97338-1900
Phone: (503) 623-9289
Fax: (503) 831-1726
Street-level locationGet directions
Mailing address
182 Sw Academy St Ste 304
Dallas, OR 97338-1900
Registry dates
- Enumerated
- 2007-03-29
- Last updated
- 2008-07-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.