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

Pacific Crest Trail Detox LLC

Organization Substance Abuse Rehabilitation Facility · NPI 1043760838

Pacific Crest Trail Detox LLC is a Substance Abuse Rehabilitation Facility in Milwaukie, Oregon. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7708 SE Clackamas Rd
Milwaukie, OR 97267-4405
Phone: (503) 908-8875
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X

Record details

NPI number1043760838
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Benjamin Randolph — Ceo · (503) 901-1836
NPI enumeratedOctober 5, 2016
Last updated in NPPESOctober 5, 2016
Mailing address10600 Se McLoughlin Blvd, 207, Milwaukie, OR 97222-7428

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