Organization
HAZELDEN SPRINGBROOK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL RANUM (CFO)
(651) 213-4724
Entity
Organization
Contact information
Practice address
1901 ESTHER ST, NEWBERG, OR 97132-9529
(800) 537-7007
(503) 537-7007
Mailing address
1901 ESTHER ST, NEWBERG, OR 97132-9529
(800) 537-7007
(503) 537-7007
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
NONUMBER
OR
Other
Enumeration date
01/02/2007
Last updated
08/22/2020
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