| Cielo Treatment Center Llc | |
|
1805 Ne Sandy Blvd Portland OR 97232-2884 | |
| (503) 328-4197 | |
| Not Available |
| Full Name | Cielo Treatment Center Llc |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 1805 Ne Sandy Blvd, Portland, Oregon |
| Authorized Official Name and Position | Solara Salazar (OWNER) |
| Authorized Official Contact | 5033284197 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cielo Treatment Center Llc 1805 Ne Sandy Blvd Portland OR 97232-2884 Ph: (503) 328-4197 | Cielo Treatment Center Llc 1805 Ne Sandy Blvd Portland OR 97232-2884 Ph: (503) 328-4197 |
| NPI Number | 1508598749 |
|---|---|
| Provider Enumeration Date | 06/27/2022 |
| Last Update Date | 04/11/2023 |
| Certification Date | 04/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508598749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Primary |
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