Portland Detox

LBN: Portland Detox
Portland Detox is an health care organization with primary practice located at 11160 Sw Waverly Pl , Portland OR 97225-4456. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Portland Detox can be contacted via phone (503) 750-6238, or through Whisnant, Brad via phone (503) 750-6238.

Contact Information

Primary practice address
11160 Sw Waverly Pl Portland OR 97225-4456
Phone: (503) 750-6238
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Whisnant, Brad Licensed Acupuncturist (LAC)
Phone: (503) 750-6238

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X AC01151 Oregon

Profile Details

NPI number 1649412511
LBN Legal business name Portland Detox
DBA Doing business as
Authorized official Whisnant, Brad Licensed Acupuncturist (LAC)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 24th, 2009
Last updated Mar 24th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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