Healthcare Provider Details

I. General information

NPI: 1366107591
Provider Name (Legal Business Name): HASHTAG RECOVERY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2021
Last Update Date: 11/03/2021
Certification Date: 11/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

365 NE COURT ST
PRINEVILLE OR
97754-1936
US

IV. Provider business mailing address

365 NE COURT ST
PRINEVILLE OR
97754-1936
US

V. Phone/Fax

Practice location:
  • Phone: 541-504-7535
  • Fax: 541-504-7535
Mailing address:
  • Phone: 541-504-7535
  • Fax: 541-504-7535

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name: DARLA KAY BYUS
Title or Position: CLINICAL SUPERVISOR
Credential: CADC III, MAC
Phone: 541-504-7535