NPI 1588921845
Haven House Treatment Center Corp
Practice location
- Address
- 13565 SW Singletree Dr, Beaverton, OR 97008-7517
- Phone
- (503) 521-0405
- Mailing address
- PO Box 230102, Tigard, OR 97281-0102
Authorised official
- Name
- Julieta B Sicat
- Title
- Executive Director
- Phone
- (503) 267-8012
Registered specialties
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
Registry record
- NPI
- 1588921845
- Entity type
- Organization
- NPI issued
- 11 Apr 2012
- Record last updated
- 11 Apr 2012
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.