institution
Portland Detox
Substance Abuse Rehabilitation Facility in Portland, Oregon
NPI 1649412511

Portland Detox is a Substance Abuse Rehabilitation Facility based in Portland, OR. Portland Detox practices in Portland, OR. The NPI Number for Portland Detox is 1649412511 and holds a License No. AC01151 (Oregon).

The current practice location address for Portland Detox is 11160 Sw Waverly Pl, Portland, OR and can be reached out via phone at 503-750-6238. You can also correspond with Portland Detox through the mailing address at 11160 SW WAVERLY PL, PORTLAND, OR - 97225-4456 (mailing address contact number: 503-750-6238).

Location: 11160 Sw Waverly Pl, Portland, OR, 97225-4456
institution
Provider Profile Details
NPI Number
1649412511
Provider Name
Portland Detox
Credential
Provider Entity Type
Organization
Address
11160 Sw Waverly Pl, Portland, OR, 97225-4456
Phone Number
503-750-6238
Fax Number
Provider Enumeration Date
03/24/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11160 Sw Waverly Pl
City
State
Zip
97225-4456
Phone Number
503-750-6238
Fax Number
person
Provider Business Mailing Address Details
Address
11160 Sw Waverly Pl
City
State
Zip
97225-4456
Phone Number
503-750-6238
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
License No.
AC01151 (Oregon)
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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