DEPAUL TREATMENT CENTERS NPI 1982141172

NPI Information

DEPAUL TREATMENT CENTERS is a substance abuse rehabilitation facility in Portland, OR. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. DEPAUL TREATMENT CENTERS NPI is 1982141172. The provider is registered as an organization entity type.

The provider's business location address is:

4310 NE KILLINGSWORTH ST
PORTLAND, OR
ZIP 97218-404
Phone: (503) 535-1151
Fax: (503) 546-8340

The provider's authorized official is Jana Bryant .
The authorized official title is Detoxification Nurse and has the following contact phone number (503) 535-1150.

The CLIA number assigned to this NPI record is 38D2203250 - other - residential treatment fac with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/25/2017 and was last updated on 1/25/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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