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DEPAUL TREATMENT CENTERS
NPI 1982141172
Substance Abuse Rehabilitation Facility in Portland, OR

Active since January 25, 2017
4310 NE KILLINGSWORTH ST, PORTLAND, OR 97218(503) 535-1151(503) 546-8340 Get Directions Write a Review

NPPES record last updated: January 25, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Depaul Treatment Centers NPPES

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

DEPAUL TREATMENT CENTERS (NPI 1982141172) is a healthcare organization registered as a substance abuse rehabilitation facility in Portland, Oregon and active in the NPI registry since January 2017. The organization lists Jana Bryant, Detoxification Nurse, as its authorized official.

NPPES Registry Identity

NPI1982141172
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameDEPAUL TREATMENT CENTERS
Location Address4310 NE KILLINGSWORTH STPortland, OR 97218-1404
Mailing AddressPo Box 3007Portland, OR 97208-3007 · (503) 535-1151 · Fax (503) 546-8340
Phone(503) 535-1151
Fax(503) 546-8340
Organization SubpartNo
Authorized OfficialJana BryantDetoxification Nurse · (503) 535-1150
Enumeration DateJanuary 25, 2017
✔ NPI 1982141172 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 · 201140843RN
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.
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 Centers's NPI number?

The NPI number for Depaul Treatment Centers is 1982141172. It was assigned to this organization in the NPPES registry on January 25, 2017.

Where is Depaul Treatment Centers located?

Depaul Treatment Centers is located at 4310 NE Killingsworth St, Portland, OR 97218. The listed phone number is (503) 535-1151.

What is Depaul Treatment Centers'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 Depaul Treatment Centers was last updated on January 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.