Depaul Treatment Center

NPI #1346420338 in Portland, Oregon

Provider Information

NPI Number: 1346420338
Entity Type: Organization
Organization Name: Depaul Treatment Center
Primary Specialty: Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children
Enumeration Date: Nov 7, 2007
Last Updated: Nov 7, 2007

Practice Location

Address: 4310 NE KILLINGSWORTH ST
City: Portland
State: Oregon
ZIP Code: 97218-1404
Phone: (503) 535-1181

Authorized Official

Name: MR. JOSHUA HAMPTON, M.S.
Title: PRIMARY COUNSELOR
Phone: (503) 928-1570

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children — Substance Abuse Treatment, Children	3245S0500X	Primary

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Richard Ivan Vaughan, BS	Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children	Portland	AI Deep Dive
MISS Kelsey Corrine Coffey	Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children	Portland	AI Deep Dive
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Organizations

Provider Name	Specialty	City
De Paul Treatment Center	Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children	Portland	AI Deep Dive
Depaul Treatment Center	Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children	Portland	AI Deep Dive

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