NPIMap

Organization Active NPI

De Paul Treatment Centers

  • Substance Abuse Rehabilitation Facility
  • Portland, OR
National Provider Identifier
1194037283
Registry record updated Jul 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
T0680 Issued in OR
Legal business name
DE PAUL TREATMENT CENTERS
Practice address
1312 SW Washington St.
Portland, OR 97208
Phone
(503) 535-1181
Fax
(503) 535-1191
NPI assigned
Jul 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 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 Professional Services
Phone
(503) 535-1174

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X T0680 OR Primary

Addresses

Primary practice location

1312 SW Washington St.
Portland, OR 97208

Mailing address

1312 SW Washington
P.O. Box 3007
Portland, OR 97208

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": "1278374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278374400000",
    "number": "1194037283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 SW WASHINGTON",
            "address_2": "P.O. BOX 3007",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97208"
        },
        {
            "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": "97208",
            "telephone_number": "503-535-1181",
            "fax_number": "503-535-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE PAUL TREATMENT CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-06",
        "last_updated": "2010-07-06",
        "status": "A",
        "authorized_official_last_name": "FORREST",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "DIRECTOR OF PROFESSIONAL SERVICES",
        "authorized_official_telephone_number": "503-535-1174",
        "authorized_official_credential": "LPC, LMFT"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "OR",
            "license": "T0680",
            "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 Jul 6, 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.