Healthcare Provider Details

I. General information

NPI: 1629119086
Provider Name (Legal Business Name): RAINROCK TREATMENT CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2007
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41496 MCKENZIE HWY
SPRINGFIELD OR
97478-8688
US

IV. Provider business mailing address

6100 SW 76TH ST
SOUTH MIAMI FL
33143-5002
US

V. Phone/Fax

Practice location:
  • Phone: 541-896-9300
  • Fax: 541-896-9300
Mailing address:
  • Phone: 305-663-1876
  • Fax: 786-359-4485

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number835
License Number StateOR

VIII. Authorized Official

Name: MR. JASON SCHULZ
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 305-663-1876