PORTLAND DETOX
NPI 1649412511
Substance Abuse Rehabilitation Facility in Portland, OR

Q: What is Portland Detox's NPI number?

The NPI number for Portland Detox is 1649412511. It was assigned to this organization in the NPPES registry on March 24, 2009.

Q: What is Portland Detox's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Q: When was this NPI record last updated?

The NPPES record for Portland Detox was last updated on March 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 24, 2009

11160 SW WAVERLY PL, PORTLAND, OR 97225(503) 750-6238 Get Directions Write a Review

NPPES record last updated: March 24, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Portland Detox NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PORTLAND DETOX (NPI 1649412511) is a healthcare organization registered as a substance abuse rehabilitation facility in Portland, Oregon and active in the NPI registry since March 2009. The organization lists Brad Whisnant, Owner, as its authorized official.

NPPES Registry Identity

NPI1649412511

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NamePORTLAND DETOX

Location Address11160 SW WAVERLY PLPortland, OR 97225-4456

Mailing Address11160 Sw Waverly PlPortland, OR 97225-4456 · (503) 750-6238

Phone(503) 750-6238

Organization SubpartNo

Authorized OfficialBrad WhisnantOwner · (503) 750-6238

Enumeration DateMarch 24, 2009

✔ NPI 1649412511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

License✔ Licensed in OR · AC01151

Definition

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.

11160 SW WAVERLY PL, Portland, OR 97225

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Portland Detox's NPI number?

The NPI number for Portland Detox is 1649412511. It was assigned to this organization in the NPPES registry on March 24, 2009.

Where is Portland Detox located?

Portland Detox is located at 11160 SW Waverly Pl, Portland, OR 97225. The listed phone number is (503) 750-6238.

What is Portland Detox's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Portland Detox was last updated on March 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.