person
Nicole Swanson, LPN
Substance Abuse Rehabilitation Facility in Portland, Oregon
NPI 1033431721

Nicole Swanson is a Substance Abuse Rehabilitation Facility based in Portland, OR. Nicole Swanson practices in Portland, OR and has the professional credentials of LPN. The NPI Number for Nicole Swanson is 1033431721 and holds a License No. VN246897 (Oregon).

The current practice location address for Nicole Swanson is 1312 Sw Washington St, Portland, OR and can be reached out via phone at 503-535-1151 and via fax at 503-535-1190.

Location: 1312 Sw Washington St, Portland, OR, 97205-2327
person
Provider Profile Details
NPI Number
1033431721
Provider Name
Nicole Swanson
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
1312 Sw Washington St, Portland, OR, 97205-2327
Phone Number
503-535-1151
Fax Number
503-535-1190
Provider Enumeration Date
02/22/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1312 Sw Washington St
City
State
Zip
97205-2327
Phone Number
503-535-1151
Fax Number
503-535-1190
person
Provider Business Mailing Address Details
Address
1312 Sw Washington St
City
State
Zip
97205-2327
Phone Number
503-535-1151
Fax Number
503-535-1190
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
201030354LPN (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
License No.
VN246897 (California)
Definition
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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