NPI Provider: 1346420338
Contact Name: Hampton Joshua
Position: Primary Counselor
Phone: (503) 928-1570
Depaul Treatment Center Information:
Depaul Treatment Center organization have npi 1346420338, taxonomy code is 3245S0500X with license number is in . This Business address located in 4310 NE Killingsworth St, Portland, OR 97218 Oregon.
Address: 4310 NE Killingsworth St, Portland, OR 97218
Phone: (503) 535-1181
Taxonomy Code: 3245S0500X
License Number of State:
Primary Taxonomy Switch: Y
Enumeration Date: 11/7/2007
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