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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.

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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?
The practice location on file with NPPES is in Otis, OR.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2018-06-16. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2018-06-16.