OrganizationActive
Oregon Trail Recovery LLC
NPI 1881010502 · Substance Use Disorder Rehabilitation Clinic/Center · Milwaukie, OR
Provider details
- NPI number
- 1881010502
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Benjamin Randolph, Owner
Practice location
10600 Se Mcloughlin Blvd
Ste 207
Milwaukie, OR 97222-7428
Phone: (503) 901-1836
Mailing address
10600 Se Mcloughlin Blvd
Milwaukie, OR 97222-7428
Registry dates
- Enumerated
- 2014-03-06
- Last updated
- 2015-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.