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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PORTLAND DETOX

Active Organization

Substance Abuse Rehabilitation Facility · PORTLAND, OR

Registration Details

NPI Number
1649412511
Provider Type
Organization
NPI Issued
Mar 24, 2009 (17.120747800665 yrs)
Last Updated
Mar 24, 2009
License
AC01151 (OR)

Practice Information

Address
11160 SW WAVERLY PL
PORTLAND, OR, 972254456
Browse OR providers · Browse ZIP 97225
Phone
5037506238
Primary Specialty
Substance Abuse Rehabilitation Facility
324500000X

Other Substance Abuse Rehabilitation Facility Organizations in PORTLAND, OR

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.