Awellera – Substance Use Disorder Rehabilitation Clinic/Center, NPI 1063962579

Awellera is a healthcare provider. based in Clackamas, Oregon. specializing in Substance Use Disorder Rehabilitation Clinic/Center. The organization holds a License No. L3197 (OR). The NPI Number for Awellera is 1063962579

Main info

Organization
Name
Awellera
NPI
1063962579
Phone
(503) 740-1971
Address
10117 SE SUNNYSIDE RD # F1217
Authorized Official
MICHELLE L KRUMMENACKER CEO
Enumeration Date
7 October 2016
Last Update Date
1 June 2026
Data current as of
10 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness90
Years active:9State licenses:1Digital endpoints

Provider Addresses for Awellera

  • 10117 SE SUNNYSIDE RD # F1217

    CLACKAMAS, OR 970157708

    Phone: (503) 740-1971

    Fax: (503) 771-2436

    Type: Location

  • 10117 SE Sunnyside Rd # F1217

    Clackamas, OR 970157708

    Phone: (503) 740-1971

    Fax: (503) 771-2436

    Type: Location

  • 9123 SE SAINT HELENS ST STE 100F

    CLACKAMAS, OR 970156800

    Phone: (503) 740-1971

    Fax: (503) 771-2436

    Type: Location

  • 1217 NE Burnside Rd Ste 701

    Gresham, OR 970305770

    Phone: (503) 740-1971

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97015)

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Reviews

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Frequently asked questions

Is there an official ID for Awellera in U.S. healthcare records?
The official identifier for Awellera is NPI 1063962579.
Would Awellera appear as active to a payer?
You can treat Awellera as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with Awellera?
Awellera's record emphasizes Substance Use Disorder Rehabilitation Clinic/Center. Clinical services aligned with this taxonomy classification.
What locale is associated with Awellera?
Directory geography for Awellera centers on Clackamas, Oregon.
Does Awellera accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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