Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Rose City Drug & Alcohol Detox Center of Portland LLC

Organization Substance Abuse Rehabilitation Facility · NPI 1932915063

Rose City Drug & Alcohol Detox Center of Portland LLC is a Substance Abuse Rehabilitation Facility in Portland, Oregon. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12711 SE Holgate Blvd
Portland, OR 97236-3734
Phone: (503) 896-8232
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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

Record details

NPI number1932915063
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Anderson — Executive Director/ Ownership · (503) 896-8232
Other names Rose City Detox
NPI enumeratedDecember 4, 2024
Last updated in NPPESDecember 4, 2024
Certification dateDecember 4, 2024
Mailing address10505 Sw Barbur Blvd Ste 201, Portland, OR 97219-6853

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