Organization
DE PAUL TREATMENT CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY FORREST LPC, LMFT (DIRECTOR OF PROFESSIONAL SERVICES)
(503) 535-1174
Entity
Organization
Contact information
Practice address
1312 SW WASHINGTON ST., PORTLAND, OR 97208
(503) 535-1181
(503) 535-1191
Mailing address
1312 SW WASHINGTON, P.O. BOX 3007, PORTLAND, OR 97208
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
T0680
OR
Other
Enumeration date
07/06/2010
Last updated
07/06/2010
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