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DE PAUL TREATMENT CENTER NPI 1417277021


NPI Information

NPI: 1417277021
Provider Name: DE PAUL TREATMENT CENTER
Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
Entity Type: Organization

Specialization: Substance Abuse Treatment, Children

Address:
4310 NE KILLINGSWORTH ST
PORTLAND, OR
ZIP 97218
Phone: (503) 535-1150
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DE PAUL TREATMENT CENTER is a substance abuse treatment and children substance abuse rehabilitation facility in Portland, OR. The provider is a facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. DE PAUL TREATMENT CENTER NPI is 1417277021. 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) 535-1150

The provider's authorized official is Shabd Khalsa .
The authorized official title is Admissions Counselor and has the following contact phone number (503) 535-1150.

The enumeration date for this NPI number is 6/4/2010 and was last updated on 6/4/2010.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, ChildrenYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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