Organization
DE PAUL TREATMENT
Active
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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