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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.

Location: 11160 Sw Waverly Pl, Portland, OR, 97225-4456
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Portland
State
Oregon
Zip
97225-4456
Phone Number
503-750-6238
Fax Number
person
Provider Business Mailing Address Details
Address
11160 Sw Waverly Pl
City
Portland
State
Oregon
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
324500000X
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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