| NPI | 1073888137 |
|---|---|
| Other Name | PORTLAND HOUSE |
| Entity Type | Organization |
| Authorized Contact | HEATHER J MCALPINE Credentialing Specialist 503-238-0769 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2022-07-27 |