Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Oregon Department of Corrections

Organization Preferred Provider Organization · NPI 1659721397

Oregon Department of Corrections is a Preferred Provider Organization in Tualatin, Oregon. Licensed in Oregon. Registered with an NPI since 2016.

Licensed in
OR
In the registry since
2016
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Practice location Address checks out

17734 SW Shasta Trl
Tualatin, OR 97062-8455
Phone: (503) 691-1718
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Preferred Provider Organization (primary) Taxonomy 305R00000X · Licence L4861 (OR)

Record details

NPI number1659721397
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Linn Menzie — Bhs Program Manager · (503) 280-6646
NPI enumeratedJune 14, 2016
Last updated in NPPESJune 14, 2016
Mailing address17734 Sw Shasta Trl, Tualatin, OR 97062-8455

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