Organization
DEPAUL TREATMENT CENTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANA MICHELLE BRYANT RN (DETOXIFICATION NURSE)
(503) 535-1150
Entity
Organization
Contact information
Practice address
1312 SW WASHINGTON ST, PORTLAND, OR 97205-2327
(503) 535-1166
(503) 535-1191
Mailing address
1312 SW WASHINGTON ST, PORTLAND, OR 97205-2327
(503) 535-1166
(503) 535-1191
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
201140843RN
OR
Other
Enumeration date
06/07/2011
Last updated
06/07/2011
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