Organization · Type 2 NPI

Rose City Drug & Alcohol Detox Center of Portland LLC

Substance Abuse Rehabilitation Facility · Portland, OR

NPI number 1932915063 Active

Practice location

12711 SE Holgate Blvd
Portland, OR 97236-3734

Call (503) 896-8232 Map

Mailing address

10505 SW Barbur Blvd Ste 201
Portland, OR 97219-6853

Specialties and licenses

Taxonomy	Code	License
Substance Abuse Rehabilitation Facility Primary	324500000X	None listed

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 1932915063

Rose City Drug & Alcohol Detox Center of Portland LLC's National Provider Identifier is 1932915063, issued on Dec 4, 2024. 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 Dec 4, 2024.