Portland Detox
Portland Detox is a Substance Abuse Rehabilitation Facility in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2009.
- Licensed in
- OR
- In the registry since
- 2009
Practice location Address checks out
11160 SW Waverly PlPortland, OR 97225-4456
Phone: (503) 750-6238
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Substance Abuse Rehabilitation Facility (primary) | Taxonomy 324500000X · Licence AC01151 (OR) |
|---|
Record details
| NPI number | 1649412511 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Brad Whisnant — Owner · (503) 750-6238 |
| NPI enumerated | March 24, 2009 |
| Last updated in NPPES | March 24, 2009 |
| Mailing address | 11160 Sw Waverly Pl, Portland, OR 97225-4456 |
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