DEPAUL TREATMENT CENTERS NPI 1942742184

NPI Information

NPI: 1942742184
Provider Name: DEPAUL TREATMENT CENTERS
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
1312 SW WASHINGTON ST
PORTLAND, OR
ZIP 97205
Phone: (503) 535-1101
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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 1942742184. The provider is registered as an organization entity type.

The provider's business location address is:

1312 SW WASHINGTON ST
PORTLAND, OR
ZIP 97205-327
Phone: (503) 535-1101

The provider's authorized official is Rashelle Mytych .
The authorized official title is Residential Counselor Supervisor and has the following contact phone number (503) 535-1113.

The enumeration date for this NPI number is 11/4/2016 and was last updated on 11/4/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	324500000X	Substance Abuse Rehabilitation Facility				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1245378546	MEDICAID	OREGON

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

NPI Synchronization or Removal

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