DE PAUL DRUG AND ALCOHOL TREATMENT CENTER
NPI 1104145655
Substance Abuse Rehabilitation Facility in Portland, OR

NPI Status: Active since May 24, 2010

Contact Information

1312 SW WASHINGTON ST
PORTLAND, OR
ZIP 97205
Phone: (503) 535-1174
Fax: (503) 535-1191

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  • Organization
  • Substance Abuse Rehabilitation Facility

About DE PAUL DRUG AND ALCOHOL TREATMENT CENTER

This page provides the complete NPI Profile along with additional information for De Paul Drug And Alcohol Treatment Center, a provider established in Portland, Oregon operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1104145655 assigned on May 2010. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Terry Forrest Lpc, Lmft (Director Of Proffesional Services)

NPI
1104145655
Provider Name
DE PAUL DRUG AND ALCOHOL TREATMENT CENTER
Entity Type
Organization
Location Address
1312 SW WASHINGTON ST PORTLAND, OR 97205
Location Phone
(503) 535-1174
Location Fax
(503) 535-1191
Mailing Address
1312 SW WASHINGTON ST P.O. BOX 3007 PORTLAND, OR 97205
Mailing Phone
(503) 535-1174
Mailing Fax
(503) 535-1191
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-24-2010
Last Update Date
05-24-2010
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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

TERRY FORREST LPC, LMFT

Authorized Official Title
DIRECTOR OF PROFFESIONAL SERVICES
Authorized Official Phone
(503) 353-1174

Reviews for DE PAUL DRUG AND ALCOHOL TREATMENT CENTER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1104145655
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21042410610
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 2 + 4 + 1 + 0 + 6 + 1 + 0 + 24 = 45
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 45 = 55

The NPI number 1104145655 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1992844203 TIM C GILLES CADC 1
Individual
Counselor (Addiction (Substance Use Disorder))1312 SW WASHINGTON ST
PORTLAND, OR 97205
(503) 535-1150
1710027909 BRIAN HORAY
Individual
Counselor (Addiction (Substance Use Disorder))1312 SW WASHINGTON ST
PORTLAND, OR 97205
(503) 535-1150
1356460927 TYLER KORSLUND
Individual
Counselor (Addiction (Substance Use Disorder))1312 SW WASHINGTON ST
PORTLAND, OR 97205
(503) 535-1151
1386763142 IVETTE M IPARRAGUIRRE
Individual
Counselor (Addiction (Substance Use Disorder))1312 SW WASHINGTON ST
PORTLAND, OR 97205
(503) 535-1151
1538288329MRS. PAULA ANDREA MENA CADCI
Individual
Counselor (Addiction (Substance Use Disorder))1312 SW WASHINGTON ST
PORTLAND, OR 97205
(503) 535-1171
1326249236MS. HEIDI ELISE SAVELL MSW
Individual
Social Worker1312 SW WASHINGTON ST
PORTLAND, OR 97205
(503) 535-1150
1346447299 APRIL KATHLEEN WOODS
Individual
Counselor (Addiction (Substance Use Disorder))1312 SW WASHINGTON ST
PORTLAND, OR 97205
(503) 535-1150
1740470111 TARA ANNE BARKELL
Individual
Counselor (Addiction (Substance Use Disorder))1312 SW WASHINGTON ST
PORTLAND, OR 97205
(503) 535-1151
1043403678MR. ANTHONY LAMBRICHTS HAUCK CACD II
Individual
Counselor (Addiction (Substance Use Disorder))1312 SW WASHINGTON ST
PORTLAND, OR 97205
(503) 535-1191
1396932885MRS. MAILE MICHELLE BOEKE SAND BA, QMHA
Individual
Counselor (Addiction (Substance Use Disorder))1312 SW WASHINGTON ST
PORTLAND, OR 97205
(503) 535-1190
1457529497MS. ANDREA DAWN QUICKSALL BA
Individual
Social Worker1312 SW WASHINGTON ST
PORTLAND, OR 97205
(503) 535-1150
1255591269 CLARA RUTH BADE
Individual
Counselor (Addiction (Substance Use Disorder))1312 SW WASHINGTON ST
PORTLAND, OR 97205
(503) 535-1150
1154564037 MELANIE KLEIN
Individual
Counselor1312 SW WASHINGTON ST
PORTLAND, OR 97205
(503) 535-1150
1770726440MS. SHIRLEY CHARLEEN JACOBSON
Individual
Counselor (Addiction (Substance Use Disorder))1312 SW WASHINGTON ST
PORTLAND, OR 97205
(503) 535-1151
1902033491MR. REED EMORY PALMER
Individual
Counselor (Addiction (Substance Use Disorder))1312 SW WASHINGTON ST
PORTLAND, OR 97205
(503) 535-1151
1336472489MR. RODNEY D GALLEGOS JR.
Individual
Counselor (Addiction (Substance Use Disorder))1312 SW WASHINGTON ST
PORTLAND, OR 97205
(503) 535-1150
1235463167 CHRIS W CLAWSON
Individual
Counselor1312 SW WASHINGTON ST
PORTLAND, OR 97205
(503) 535-1185
1033431721 NICOLE SWANSON LPN
Individual
Substance Abuse Rehabilitation Facility1312 SW WASHINGTON ST
PORTLAND, OR 97205
(503) 535-1151
1982921078 MELISSA KIRBY MSED.
Individual
Counselor1312 SW WASHINGTON ST
PORTLAND, OR 97205
(503) 535-1127
1801115175 JESSICA ANDREAS MSW
Individual
Counselor (Addiction (Substance Use Disorder))1312 SW WASHINGTON ST
PORTLAND, OR 97205
(503) 535-1151

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104145655, enumerated in the NPI registry as an "organization" on May 24, 2010

The provider is located at 1312 Sw Washington St Portland, Or 97205 and the phone number is (503) 535-1174

This medical organization specializes in Substance Abuse Rehabilitation Facility with taxonomy code 324500000X

This NPI record was last updated on May 24, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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