NPI 1174352975
Madrona Recovery Washington LLC
Practice location
- Address
- 11910 NE 154th St, Brush Prairie, WA 98606-9571
- Phone
- (503) 749-2000
- Mailing address
- 7000 SW Varns St, Portland, OR 97223-8145
Authorised official
- Name
- Micah Brady Braithwaite
- Title
- Cfo/Coo
- Phone
- (503) 749-0200
Registered specialties (2)
Psychiatric Residential Treatment Facility
Primary
Substance Abuse Rehabilitation Facility
Registry record
- NPI
- 1174352975
- Entity type
- Organization
- NPI issued
- 30 Jul 2024
- Record last updated
- 30 Jul 2024
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.