Depaul Youth and Family

Primary specialty

Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X

Legal business name

DEPAUL YOUTH AND FAMILY

Practice address

4310 NE Killingsworth St
Portland, OR 97218-1404

Phone

(503) 535-1150

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Miss Shanako M Aldrich, CADCI QMHA

Title

Girls Program Supervisior

Phone

(503) 535-1150

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218153600000",
    "number": "1841318581",
    "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": "503-535-1150"
        },
        {
            "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": "503-535-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPAUL YOUTH AND FAMILY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2008-08-08",
        "status": "A",
        "authorized_official_last_name": "ALDRICH",
        "authorized_official_first_name": "SHANAKO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "GIRLS PROGRAM SUPERVISIOR",
        "authorized_official_telephone_number": "503-535-1150",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "CADCI QMHA"
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Depaul Treatment Centers
• Depaul Treatment Centers
• Depaul Treatment Centers Inc
• Depaul Treatment Centers Inc.
• Depaul Treatment Centers, Inc.
• Juliana Depietro
• David Gerard Depinto, D.O
• Luke Depner, OTR/L
• Heather Grace Depolitte, RN
• David Allen Deppeler, PT

• 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 Aug 8, 2008; 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.