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NPI Code Detail

MEDICARE: NEW DIRECTIONS NORTHWEST, INC

MEDICARE: NEW DIRECTIONS NORTHWEST, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
2320800000XMental Illness Community Based Residential Treatment Facility
3324500000XSubstance Abuse Rehabilitation Facility
4171WH0202XHome Modifications Contractor
5251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235124462
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW DIRECTIONS NORTHWEST, INC
Provider Business Mailing Address
First Line : 3425 13TH ST
Second Line :
City : BAKER CITY
State : OR
Zip : 97814-1340
Country : US
Telephone Number : 541-523-7400
Fax Number : 541-523-4927
Provider Business Practice Location Address
First Line : 3425 13TH ST
Second Line :
City : BAKER CITY
State : OR
Zip : 97814-1340
Country : US
Telephone Number : 541-523-7400
Fax Number : 541-523-4927
Authorized Official
Title or Position : CLINICAL DIRECTOR
Name : MARJORIE MAE LIND
Credential :
Telephone Number : 541-406-4411
Provider Enumeration Date : 09/14/2005
Last Update Date : 05/27/2025

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Directions to “NEW DIRECTIONS NORTHWEST, INC ” Practice Location

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