Healthcare Provider Details

I. General information

NPI: 1578994646
Provider Name (Legal Business Name): THE SALVATION ARMY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/27/2013
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8495 SE MONTEREY AVE
HAPPY VALLEY OR
97086-7844
US

IV. Provider business mailing address

8495 SE MONTEREY AVE
HAPPY VALLEY OR
97086-7844
US

V. Phone/Fax

Practice location:
  • Phone: 503-794-3200
  • Fax:
Mailing address:
  • Phone: 503-794-3200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER DOUGHTY
Title or Position: DIRECTOR OF SOCIAL SERVICES R&D
Credential: MSW, MBA
Phone: 562-491-8320