NPI 1114546645

NW Insituto Latino

Organisation Substance Abuse Rehabilitation Facility Portland, OR

Practice location

Address: 2054 N Vancouver Ave, Portland, OR 97227-1917
Phone: (503) 888-3464
Mailing address: 775 NE 9th St, Gresham, OR 97030-5668

Authorised official

Name: Miguel Tellez
Title: Executive Director
Phone: (503) 888-3464

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in Oregon →

Registry record

NPI: 1114546645
Entity type: Organization
NPI issued: 14 Apr 2020
Record last updated: 14 Apr 2020

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.