Organization · Type 2 NPI

Providence Health & Services Oregon

Substance Abuse Rehabilitation Facility · Portland, OR

NPI number 1639524697 Active

Practice location

5228 NE Hoyt St, Building B
Portland, OR 97213-3055

Call (503) 574-9200 Map

Mailing address

PO Box 3395
Portland, OR 97208-3395

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000X700006 (OR)

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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About NPI 1639524697

Providence Health & Services Oregon's National Provider Identifier is 1639524697, issued on Apr 27, 2016. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Portland, OR. The record was last updated on Apr 27, 2016.