De Paul Treatment Centers, Inc.

LBN: Fora Health Inc.
De Paul Treatment Centers, Inc. is an health care organization with primary practice located at 10230 Se Cherry Blossom Dr , Portland OR 97216. The organization recently has 9 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF), Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, Residential Treatment Facilities / Substance Abuse Treatment, Children. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Fora Health Inc. can be contacted via phone (503) 535-1150, or through Johnson, Mallory Juanita-Ann via phone (503) 535-1156.

Contact Information

Primary practice address
10230 Se Cherry Blossom Dr Portland OR 97216
Phone: (503) 535-1150
Fax: (503) 535-1190
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Mallory Juanita-Ann
Phone: (503) 535-1156

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X Oregon
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Oregon
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X Oregon
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X Oregon
Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X Oregon
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X Oregon
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X Oregon
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X Oregon
Residential Treatment Facilities / Substance Abuse Treatment, Children 3245S0500X Oregon

Profile Details

NPI number 1245378546
LBN Legal business name Fora Health Inc.
DBA Doing business as De Paul Treatment Centers, Inc.
Authorized official Johnson, Mallory Juanita-Ann
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2007
Last updated Jul 27th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245378546 NPPES
Oregon MEDICAID 299811

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