NPIMap

Organization Active NPI

Depaul Treatment Centers

  • Substance Abuse Rehabilitation Facility
  • Portland, OR
National Provider Identifier
1982141172
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
201140843RN Issued in OR
Legal business name
DEPAUL TREATMENT CENTERS
Practice address
4310 NE Killingsworth St
Portland, OR 97218-1404
Phone
(503) 535-1151
Fax
(503) 546-8340
NPI assigned
Jan 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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

Authorized official

Name
Jana Bryant, RN
Title
Detoxification Nurse
Phone
(503) 535-1150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 201140843RN OR Primary

Addresses

Primary practice location

4310 NE Killingsworth St
Portland, OR 97218-1404

Mailing address

PO Box 3007
Portland, OR 97208-3007
Phone (503) 535-1151

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": "1485302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485302400000",
    "number": "1982141172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3007",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083007",
            "telephone_number": "503-535-1151",
            "fax_number": "503-546-8340"
        },
        {
            "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": "503-535-1151",
            "fax_number": "503-546-8340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPAUL TREATMENT CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-25",
        "last_updated": "2017-01-25",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "JANA",
        "authorized_official_title_or_position": "DETOXIFICATION NURSE",
        "authorized_official_telephone_number": "503-535-1150",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "OR",
            "license": "201140843RN",
            "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 Jan 25, 2017; 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.