BLVD
NPI 1154785475
Substance Abuse Rehabilitation Facility in Portland, OR

Q: What is the provider's specialty?

The provider's specialty is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Active since April 12, 2016

1316 SE 12TH AVE, PORTLAND, OR 97214(951) 323-7366 Get Directions Write a Review

NPPES record last updated: July 28, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 28, 2017, Jun 30, 2017 (2 updates tracked since 2017).

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NPI Profile Information
Primary Taxonomy
Authorized Official
Other Providers Same Location
Frequently Asked Questions

Organization
Substance Abuse Rehabilitation Facility

About BLVD

This page provides the complete NPI Profile along with additional information for Blvd, a provider established in Portland, Oregon operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1154785475 assigned on April 2016. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Blvd. The authorized official of this NPI record is Mr. Jason Monroe (Coo)

NPI: 1154785475 Verify this NPI
Provider Legal Name: BLVD CENTERS, INC
Other Organization Name: BLVD
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 1316 SE 12TH AVE PORTLAND, OR 97214
Location Phone: (951) 323-7366
Mailing Address: PO BOX 512030 LOS ANGELES, CA 90051
Mailing Phone: (855) 277-5363
Is Sole Proprietor?: No
Is Organization Subpart?: Yes
Enumeration Date: 04-12-2016
Last Update Date: 07-28-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Substance Abuse Rehabilitation Facility
Taxonomy Code: 324500000X
Type: Residential Treatment Facilities
Taxonomy Description: 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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: MR. JASON MONROE
Authorized Official Title: COO
Authorized Official Phone: (602) 550-2211