Organization
DE PAUL TREATMENT
Active
Parent organization
DE PAUL TREATMENT
Organization subpart
Yes
Provider details
NPI number
Legal business name
DE PAUL TREATMENT
Authorized official
NALLELY VILLEGAS (RECEPTIONIST)
(971) 303-5108
Entity
Organization
Contact information
Practice address
4310 NE KILLINGSWORTH ST, PORTLAND, OR 97218-1404
(503) 535-1181
Mailing address
4310 NE KILLINGSWORTH ST, PORTLAND, OR 97218-1404
(503) 535-1181
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
01/20/2017
Last updated
01/20/2017
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