NPI 1104145655
De Paul Drug and Alcohol Treatment Center
Practice location
- Address
- 1312 SW Washington St, Portland, OR 97205-2327
- Phone
- (503) 535-1174
- Fax
- (503) 535-1191
- Mailing address
- 1312 SW Washington St P.O. Box 3007, Portland, OR 97205-2327
Authorised official
- Name
- Terry Forrest
- Title
- Director of Proffesional Services
- Phone
- (503) 353-1174
Registered specialties
Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1104145655
- Entity type
- Organization
- NPI issued
- 24 May 2010
- Record last updated
- 24 May 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.