NPIMap

Organization Active NPI

Depaul Treatment Centers Inc

  • Substance Abuse Rehabilitation Facility
  • Portland, OR
National Provider Identifier
1871717769
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
DEPAUL TREATMENT CENTERS INC
Practice address
1320 SW Washington St
Portland, OR 97205-2327
Phone
(503) 535-1171
Fax
(503) 535-1191
NPI assigned
Apr 12, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Jennifer Margaret Doucette, BS,MANPI 1124489612
Title
Counselor
Phone
(503) 535-1171

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

1320 SW Washington St
Portland, OR 97205-2327

Mailing address

18200 SE 24TH Way
Vancouver, WA 98683-1838
Phone (360) 450-4155

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.

Locations

1320 SW Washington St
Portland, OR 97205
Phone (503) 535-1151

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871717769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18200 SE 24TH WAY",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986831838",
            "telephone_number": "360-450-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 SW WASHINGTON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052327",
            "telephone_number": "503-535-1171",
            "fax_number": "503-535-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPAUL TREATMENT CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOUCETTE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "MARGARET",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "503-535-1171",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BS,MA"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "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 Aug 22, 2020; 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.