DE PAUL TREATMENT CENTERS (NPI# 1194037283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194037283 |
| Entity Type | Organization |
| Organization Name | DE PAUL TREATMENT CENTERS |
| Practice Address |
1312 Sw Washington St. Portland OR 97208 |
| Mailing Address |
1312 Sw Washington P.o. Box 3007 Portland OR 97208 |
| Practice Telephone | 5035351181 |
| Practice Fax Number | 5035351191 |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2010-07-06 |
| Authorized Official Name | TERRY FORREST (DIRECTOR OF PROFESSIONAL SERVICES) |
| Authorized Official Telephone | 5035351174 |
| Authorized Official Credential | LPC, LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | T0680 | OR | Residential Treatment Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DE PAUL TREATMENT CENTERS INC. | 1312 Sw Washington St, Portland, OR 97205-2327 |
| Oregon Corporations, Companies and Business Names | DE PAUL TREATMENT CENTERS, INC. | 1312 Sw Washington St, Portland, OR 97205 |
| Street Address |
1312 SW WASHINGTON ST. |
| City | PORTLAND |
| State | OR |
| Zip Code | 97208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851694764 | Laramie Holliman | Registered Nurse | 1312 Sw Washington St., Portland, OR 97205 | 2010-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063743847 | Jacqueline Mendro | Counselor | 1312 Sw Washington, Portland, OR 97208 | 2010-01-19 |
| 1205960432 | Sean Donahue | Counselor | 1312 Sw Washington Street, Portland, OR 97208 | 2007-03-16 |
| 1831536531 | Premiercare Anesthesia Fountain Valley Inc | Anesthesiology | 17100 Euclid St., Fountain Valley, CA 97208 | 2013-06-04 |
| 1700916509 | Franklin Owen Black | Otolaryngology | 1225 Ne 2nd Ave, Suite 305, Portland, OR 97208 | 2007-03-07 |
| 1548602774 | William Thomas Ryan Meristem | Counselor | De Paul Treatment Centers, 1312 Sw Washington, Portland, OR 97208-3007 | 2013-07-30 |
| 1871727370 | Andrew Gadbois | Counselor | 4310 Ne Killingsworth St., Portland, OR 97208-3007 | 2009-05-12 |
| 1477912780 | Dorothy Stefanello | Peer Specialist | 1312 Sw Washington Street, Portland, OR 97208-3007 | 2016-02-15 |
| 1538531611 | Caitlin Lerch | Counselor | 1312 Sw Washington Street, Portland, OR 97208-3007 | 2015-10-28 |
| 1396186607 | Richard Ivan Vaughan | Substance Abuse Rehabilitation Facility | 4310 Ne Killingsworth St, Portland, OR 97208-3007 | 2013-07-15 |
| 1932449600 | Jason Charles Zontanos | Counselor | 1312 Sw Washington St, Portland, OR 97208-3007 | 2013-02-18 |
| Find all providers in zip 97208 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477002228 | Treehouse Nw Inc | Substance Abuse Rehabilitation Facility | 4713 N Albina Ave, Suite 301, Portland, OR 97217-2605 | 2016-09-21 |
| 1154785475 | Blvd Centers, Inc | Substance Abuse Rehabilitation Facility | 1316 Se 12th Ave, Portland, OR 97214-3604 | 2016-04-12 |
| 1104219211 | Allied Health Services | Substance Abuse Rehabilitation Facility | 808 Se Alder St, Portland, OR 97214-2213 | 2015-03-13 |
| 1700297074 | Pathfinders of Oregon | Substance Abuse Rehabilitation Facility | 7800 Sw Barbur Blvd, Portland, OR 97219-2823 | 2014-05-08 |
| 1649412511 | Portland Detox | Substance Abuse Rehabilitation Facility | 11160 Sw Waverly Pl, Portland, OR 97225-4456 | 2009-03-24 |
| 1144432907 | Serenity House, Inc. | Substance Abuse Rehabilitation Facility | 30 Mellen St, Portland, ME 04101-2110 | 2007-05-04 |
| 1063548436 | Milestone Foundation Inc | Substance Abuse Rehabilitation Facility | 65 India St, Portland, ME 04101-4209 | 2007-02-27 |
| 1851428775 | Depaul Treatment Centers Inc. | Substance Abuse Rehabilitation Facility | 5052 Ne 42nd Ave, Portland, OR 97218-1550 | 2007-02-27 |
| 1114546645 | Nw Insituto Latino | Substance Abuse Rehabilitation Facility | 2054 N Vancouver Ave, Portland, OR 97227-1917 | 2020-04-14 |
| 1730673088 | Pine Tree Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 17 Bishop St, Portland, ME 04103-2659 | 2018-06-20 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.