Organization
ROSE CITY DRUG & ALCOHOL DETOX CENTER OF PORTLAND LLC
Active
Organization
ROSE CITY DRUG & ALCOHOL DETOX CENTER OF PORTLAND LLC
Active
Other names
Rose City Detox
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM RAY ANDERSON CIP (EXECUTIVE DIRECTOR/ OWNERSHIP)
(503) 896-8232
Entity
Organization
Contact information
Practice address
12711 SE HOLGATE BLVD, PORTLAND, OR 97236-3734
(503) 896-8232
Mailing address
10505 SW BARBUR BLVD STE 201, PORTLAND, OR 97219-6853
(503) 896-8232
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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