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DEPAUL TREATMENT CENTER
NPI 1689924722
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children in Portland, OR

Active since September 17, 2012
4310 NE KILLINGSWORTH ST, PORTLAND, OR 97218(503) 535-1181 Get Directions Write a Review

NPPES record last updated: September 17, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Depaul Treatment Center NPPES

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

DEPAUL TREATMENT CENTER (NPI 1689924722) is a healthcare organization registered as a substance abuse treatment, children in Portland, Oregon and active in the NPI registry since September 2012. The organization lists Sheila North, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1689924722
Entity TypeOrganization
Primary Taxonomy3245S0500X
Legal Business NameDEPAUL TREATMENT CENTER
Location Address4310 NE KILLINGSWORTH STPortland, OR 97218-1404
Mailing Address4310 Ne Killingsworth StPortland, OR 97218-1404
Phone(503) 535-1181
Organization SubpartNo
Authorized OfficialSheila NorthExecutive Director · (503) 535-1151
Enumeration DateSeptember 17, 2012
✔ NPI 1689924722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation Facility · Substance Abuse Treatment, ChildrenResidential Treatment Facilities
Taxonomy Code3245S0500X
Definition

A facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

4310 NE KILLINGSWORTH ST, Portland, OR 97218
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER JARVIS
Counselor (Addiction (Substance Use Disorder))
4310 NE KILLINGSWORTH ST
PORTLAND, OR 97218
Multnomah County (503) 535-1181
AMELIA RENEE BUNCH BA
Counselor (Addiction (Substance Use Disorder))
4310 NE KILLINGSWORTH ST
PORTLAND, OR 97218
Multnomah County (503) 535-1167
MRS. HOLLY LYNN HEATON
Counselor
4310 NE KILLINGSWORTH ST
PORTLAND, OR 97218
Multnomah County (503) 535-1181
MATTHEW LOVELL LMFT
Counselor (Addiction (Substance Use Disorder))
4310 NE KILLINGSWORTH ST
PORTLAND, OR 97218
Multnomah County (503) 535-1143
TIFFANY FLANAGAN
Counselor
4310 NE KILLINGSWORTH ST
PORTLAND, OR 97218
Multnomah County (503) 535-1150
MS. NIKKI LAINE GRAY
Counselor (Addiction (Substance Use Disorder))
4310 NE KILLINGSWORTH ST
PORTLAND, OR 97218
Multnomah County (503) 535-1181
RYAN PATRICK NEWTON MA, MFA, QMHA
Counselor (Addiction (Substance Use Disorder))
4310 NE KILLINGSWORTH ST
PORTLAND, OR 97218
Multnomah County (503) 535-1181
DOMINIQUE HALL
Counselor (Addiction (Substance Use Disorder))
4310 NE KILLINGSWORTH ST
PORTLAND, OR 97218
Multnomah County (503) 535-1150

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 Depaul Treatment Center's NPI number?

The NPI number for Depaul Treatment Center is 1689924722. It was assigned to this organization in the NPPES registry on September 17, 2012.

Where is Depaul Treatment Center located?

Depaul Treatment Center is located at 4310 NE Killingsworth St, Portland, OR 97218. The listed phone number is (503) 535-1181.

What is Depaul Treatment Center's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children, with taxonomy code 3245S0500X.

When was this NPI record last updated?

The NPPES record for Depaul Treatment Center was last updated on September 17, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.