Madrona Recovery

NPI #1992238091 in Tigard, Oregon

Provider Information

NPI Number: 1992238091
Entity Type: Organization
Organization Name: Madrona Recovery
Primary Specialty: Psychiatric Residential Treatment Facility
Enumeration Date: Apr 5, 2017
Last Updated: Jun 20, 2019

Practice Location

Address: 7000 SW VARNS ST
City: Tigard
State: Oregon
ZIP Code: 97223-8145
Phone: (949) 293-2351

Authorized Official

Name: MICAH BRADY BRAITHWAITE
Title: COO/CFO
Phone: (503) 749-0200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Substance Abuse Rehabilitation Facility	324500000X
Psychiatric Residential Treatment Facility	323P00000X	Primary

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