Depaul Treatment Center

Primary specialty

Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X

Legal business name

DEPAUL TREATMENT CENTER

Practice address

4310 NE Killingsworth St
Portland, OR 97218-1404

Phone

(503) 535-1181

Fax

(503) 528-0800

NPI assigned

Nov 7, 2007

Last updated

Nov 7, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Joshua Hampton, M.S.

Title

Primary Counselor

Phone

(503) 928-1570

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1346420338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 NE KILLINGSWORTH ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972181404",
            "telephone_number": "503-535-1181",
            "fax_number": "503-528-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 NE KILLINGSWORTH ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972181404",
            "telephone_number": "503-535-1181",
            "fax_number": "503-528-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPAUL TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "HAMPTON",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "PRIMARY COUNSELOR",
        "authorized_official_telephone_number": "503-928-1570",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanne Deparrie-Turner
• Department of Veterans Affairs
• Dominick Depasquale, RN
• Jessica Depasquale
• Depatment of Anesthesiology and Perioperative Medicine
• Depaul Treatment Center
• Depaul Treatment Centers
• Depaul Treatment Centers
• Depaul Treatment Centers Inc
• Depaul Treatment Centers Inc.

• Children's Substance Abuse Rehabilitation Facility in Portland, OR
• Providers in Portland, OR by specialty
• Children's Substance Abuse Rehabilitation Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; 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.