Healthcare Provider Details

I. General information

NPI: 1992411052
Provider Name (Legal Business Name): INSIGHT NORTHWEST RECOVERY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2023
Last Update Date: 07/30/2025
Certification Date: 07/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1776 MILLRACE DR # 202
EUGENE OR
97403-2536
US

IV. Provider business mailing address

132 E BROADWAY STE 730
EUGENE OR
97401-3160
US

V. Phone/Fax

Practice location:
  • Phone: 541-203-0539
  • Fax:
Mailing address:
  • Phone: 541-357-9433
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. JOSHUA GOTLIB
Title or Position: FOUNDER/CEO
Credential: MS, LPC, CADC III, M
Phone: 541-357-9433