Organization · Type 2 NPI
Ravenseed Azn, LLC
Substance Use Disorder Rehabilitation Clinic/Center · Portland, OR
NPI number
1912735549
Active
Practice location
9570 SW Barbur Blvd Ste 100
Portland, OR 97219-5412
Mailing address
1239 SW Ophelia St
Portland, OR 97219-4589
Other practice locations
- 504 Main St Ste A, Oregon City, OR 97045-1852 · (503) 245-6262
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
| Substance Abuse Rehabilitation Facility | 324500000X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
2 other providers at this address
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About NPI 1912735549
Ravenseed Azn, LLC's National Provider Identifier is 1912735549, issued on Jul 24, 2024. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Portland, OR. The record was last updated on Jul 25, 2024.