1. Home
  2. Directory
  3. Oregon
  4. Portland
  5. Substance Abuse Rehabilitation Facility
  6. NPI Profile

ROSE CITY DRUG & ALCOHOL DETOX CENTER OF PORTLAND LLC
NPI 1932915063
Substance Abuse Rehabilitation Facility in Portland, OR

Active since December 04, 2024
12711 SE HOLGATE BLVD, PORTLAND, OR 97236(503) 896-8232 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rose City Drug & Alcohol Detox Center Of Portland Llc NPPES

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

ROSE CITY DRUG & ALCOHOL DETOX CENTER OF PORTLAND LLC (NPI 1932915063) is a healthcare organization registered as a substance abuse rehabilitation facility in Portland, Oregon and active in the NPI registry since December 2024. The organization lists William Ray Anderson, Executive Director/ Ownership, as its authorized official.

NPPES Registry Identity

NPI1932915063
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameROSE CITY DRUG & ALCOHOL DETOX CENTER OF PORTLAND LLC
Location Address12711 SE HOLGATE BLVDPortland, OR 97236-3734
Mailing Address10505 Sw Barbur Blvd Ste 201Portland, OR 97219-6853 · (503) 896-8232
Phone(503) 896-8232
Organization SubpartNo
Authorized OfficialWilliam Ray AndersonExecutive Director/ Ownership · (503) 896-8232
Enumeration DateDecember 4, 2024
NPPES CertifiedDecember 4, 2024
✔ NPI 1932915063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
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.
12711 SE HOLGATE BLVD, Portland, OR 97236
Open in Google Maps ↗

Other Names 1

Other NameRose City Detox

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 Rose City Drug & Alcohol Detox Center Of Portland LLC's NPI number?

The NPI number for Rose City Drug & Alcohol Detox Center Of Portland LLC is 1932915063. It was assigned to this organization in the NPPES registry on December 4, 2024. The provider is also known as Rose City Detox.

Where is Rose City Drug & Alcohol Detox Center Of Portland LLC located?

Rose City Drug & Alcohol Detox Center Of Portland LLC is located at 12711 SE Holgate Blvd, Portland, OR 97236. The listed phone number is (503) 896-8232.

What is Rose City Drug & Alcohol Detox Center Of Portland LLC'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 Rose City Drug & Alcohol Detox Center Of Portland LLC was last updated on December 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.