PORTLAND DETOX

Substance Abuse Rehabilitation Facility

Active Organization
NPI: 1649412511

Practice Address

11160 SW WAVERLY PL
Portland, OR 97225

Phone: (503) 750-6238

Specialties

Specialty Code Primary License
Substance Abuse Rehabilitation Facility 324500000X Yes AC01151 (OR)

Frequently Asked Questions

NPI 1649412511 is the National Provider Identifier for PORTLAND DETOX, a Substance Abuse Rehabilitation Facility provider located in Portland, OR. This NPI was enumerated on March 24, 2009.

Quick Facts

NPI
1649412511
Type
Organization
Enumerated
Mar 24, 2009
Last Updated
Mar 24, 2009

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