Organization · Type 2 NPI

Hazelwood House

Mental Illness Community Based Residential Treatment Facility · Portland, OR

NPI number 1508090994 Active

Practice location

5415 SW Westgate Dr
Portland, OR 97221-2409

Call (503) 645-3581 Map

Fax (503) 629-8517

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000XNone listed

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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About NPI 1508090994

Hazelwood House's National Provider Identifier is 1508090994, issued on May 13, 2009. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Portland, OR. The record was last updated on Mar 9, 2022.