Provider Demographics
NPI:1134589096
Name:TRANSITIONS OUTPATIENT TREATMENT AND EDUCATION
Entity type:Organization
Organization Name:TRANSITIONS OUTPATIENT TREATMENT AND EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:LIEBE
Authorized Official - Suffix:
Authorized Official - Credentials:BS, CADC II,
Authorized Official - Phone:503-369-9332
Mailing Address - Street 1:527 SE BASELINE ST
Mailing Address - Street 2:SUITE F
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97123-4149
Mailing Address - Country:US
Mailing Address - Phone:503-747-6096
Mailing Address - Fax:
Practice Address - Street 1:527 SE BASELINE ST
Practice Address - Street 2:SUITE F
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97123-4149
Practice Address - Country:US
Practice Address - Phone:503-747-6096
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-04
Last Update Date:2016-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder