Provider Demographics
NPI:1013066901
Name:TREATMENT SERVICES NW LLC
Entity Type:Organization
Organization Name:TREATMENT SERVICES NW LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CODIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PERRY
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:COTTON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:503-246-5238
Mailing Address - Street 1:9370 SW GREENBURG RD
Mailing Address - Street 2:#601
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97223
Mailing Address - Country:US
Mailing Address - Phone:503-246-5238
Mailing Address - Fax:503-246-0570
Practice Address - Street 1:9370 SW GREENBURG RD
Practice Address - Street 2:#601
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97223
Practice Address - Country:US
Practice Address - Phone:503-246-5238
Practice Address - Fax:503-246-0570
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility