NPIMap

Organization Active NPI

De Paul Drug and Alcohol Treatment Center

  • Substance Abuse Rehabilitation Facility
  • Portland, OR
National Provider Identifier
1104145655
Registry record updated May 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
DE PAUL DRUG AND ALCOHOL TREATMENT CENTER
Practice address
1312 SW Washington St
Portland, OR 97205-2327
Phone
(503) 535-1174
Fax
(503) 535-1191
NPI assigned
May 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Terry Forrest, LPC, LMFT
Title
Director of Proffesional Services
Phone
(503) 353-1174

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

1312 SW Washington St
Portland, OR 97205-2327

Mailing address

1312 SW Washington St
P.O. Box 3007
Portland, OR 97205-2327
Phone (503) 535-1174

National Provider Directory

National Provider Directory
Tax ID family
Depaul Treatment Centers9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274659200000",
    "number": "1104145655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 SW WASHINGTON ST",
            "address_2": "P.O. BOX 3007",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052327",
            "telephone_number": "503-535-1174",
            "fax_number": "503-535-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 SW WASHINGTON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052327",
            "telephone_number": "503-535-1174",
            "fax_number": "503-535-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE PAUL DRUG AND ALCOHOL TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-24",
        "last_updated": "2010-05-24",
        "status": "A",
        "authorized_official_last_name": "FORREST",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "DIRECTOR OF PROFFESIONAL SERVICES",
        "authorized_official_telephone_number": "503-353-1174",
        "authorized_official_credential": "LPC, LMFT"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.