Healthcare Provider Details

I. General information

NPI: 1225707763
Provider Name (Legal Business Name): OREGON DIRECTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2021
Last Update Date: 05/18/2025
Certification Date: 05/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1705 CENTENNIAL BLVD STE 2
SPRINGFIELD OR
97477-3320
US

IV. Provider business mailing address

76 S 360 E
AMERICAN FORK UT
84003-2590
US

V. Phone/Fax

Practice location:
  • Phone: 970-962-4819
  • Fax:
Mailing address:
  • Phone: 970-962-4819
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: JAMES P. HYLAND
Title or Position: OWNER/AUTHORIZED OFFICIAL
Credential:
Phone: 970-962-4819