Hazelwood House - Portland, OR

Hazelwood House

Mental Illness Community Based Residential Treatment Facility in Portland, Oregon

NPI 1508090994

Hazelwood House is a Mental Illness Community Based Residential Treatment Facility based in Portland, OR. Hazelwood House practices in Portland, OR. The NPI Number for Hazelwood House is 1508090994 and holds a License No. (Oregon).

The current practice location address for Hazelwood House is 5415 Sw Westgate Dr, Portland, OR and can be reached out via phone at 503-645-3581 and via fax at 503-629-8517.

Location: 5415 Sw Westgate Dr, Portland, OR, 97221-2409

NPI Number

1508090994

Provider Name

Hazelwood House

Credential

Provider Entity Type

Organization

Address

5415 Sw Westgate Dr, Portland, OR, 97221-2409

Phone Number

503-645-3581

Fax Number

503-629-8517

Provider Enumeration Date

05/13/2009

Last Update Date

03/09/2024

Identifier	Type	State	Issuer
512881	05	OR

Address

5415 Sw Westgate Dr

City

Portland

State

Oregon

Zip

97221-2409

Phone Number

503-645-3581

Fax Number

503-629-8517

Address

5415 Sw Westgate Dr

City

Portland

State

Oregon

Zip

97221-2409

Phone Number

503-645-3581

Fax Number

503-629-8517

Type

Residential Treatment Facilities

Classification

Community Based Residential Treatment Facility, Mental Illness

Speciality

Taxonomy

320800000X

License No.

()

Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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