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Organization

DEPAUL TREATMENT CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHEILA NORTH (EXECUTIVE DIRECTOR)
(503) 535-1151
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

Taxonomy

Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary

Other

Enumeration date
09/17/2012
Last updated
09/17/2012
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