Power House Detox
Power House Detox is a healthcare organization registered as Substance Use Disorder Rehabilitation Hospital Unit in Otis, OR, holding Type 2 (organization) NPI 1982197182 since 2018. The authorized official on file is Melissa Homan, Regional Director.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1982197182 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Power House Detox |
| Other name | <Unavail> |
| Parent organization | The Power House Residential Drug Treatment Center Inc |
| Practice address | 3955 SALMON RIVER HWY, Otis, OR, 97368 |
| Phone | 5417204636 |
| Fax | 8889772106 |
| Enumeration date | 2018-06-12 |
| Last updated in NPPES | 2018-06-16 |
Authorized official
| Name | Melissa Homan |
|---|---|
| Title | Regional Director |
| Phone | 5417204636 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 276400000X | Substance Use Disorder Rehabilitation Hospital Unit | Primary | 700119 | OR |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500667339 | Medicaid | OR | — |
Copy-ready billing details
Provider: Power House Detox NPI: 1982197182 Taxonomy: 276400000X (Substance Use Disorder Rehabilitation Hospital Unit) Address: 3955 SALMON RIVER HWY, Otis, OR, 97368
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1275095937 | Jamayca Nelson | Individual | Addiction (Substance Use Disorder) Registered Nurse | Otis, OR |
| 1720540461 | Christine Massingale | Individual | Addiction (Substance Use Disorder) Counselor | Otis, OR |
| 1174085831 | Nicholas Iamon | Individual | General Practice Registered Nurse | Otis, OR |
| 1437611167 | Brandie Randleman | Individual | Addiction (Substance Use Disorder) Counselor | Otis, OR |
| 1669169660 | Sarah Hostler | Individual | Addiction (Substance Use Disorder) Counselor | Otis, OR |
| 1629765623 | Alexis Graddy | Individual | Counselor | Otis, OR |
| 1790472611 | Zachary Hoydic | Individual | Addiction (Substance Use Disorder) Counselor | Otis, OR |
| 1235826157 | Jasmine Christiansen | Individual | Addiction (Substance Use Disorder) Counselor | Otis, OR |
Verify this record
Cross-check NPI 1982197182 against the authoritative CMS record: view Power House Detox on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Power House Detox located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2018-06-16.