Organization
DEPAUL TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSHUA HAMPTON M.S. (PRIMARY COUNSELOR)
(503) 928-1570
Entity
Organization
Contact information
Practice address
4310 NE KILLINGSWORTH ST, PORTLAND, OR 97218-1404
(503) 535-1181
(503) 528-0800
Mailing address
4310 NE KILLINGSWORTH ST, PORTLAND, OR 97218-1404
(503) 535-1181
(503) 528-0800
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
11/07/2007
Last updated
11/07/2007
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