| Hazelden Betty Ford Foundation | |
|
6600 Sw 105th Ave Ste 120 Beaverton OR 97008-8800 | |
| (800) 257-7800 | |
| Not Available |
| Full Name | Hazelden Betty Ford Foundation |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 6600 Sw 105th Ave Ste 120, Beaverton, Oregon |
| Authorized Official Name and Position | Arnold Stueber (CFO) |
| Authorized Official Contact | 6512134729 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hazelden Betty Ford Foundation 15251 Pleasant Valley Rd Center City MN 55012-9640 Ph: (800) 257-7800 | Hazelden Betty Ford Foundation 6600 Sw 105th Ave Ste 120 Beaverton OR 97008-8800 Ph: (800) 257-7800 |
| NPI Number | 1063738185 |
|---|---|
| Provider Enumeration Date | 04/14/2010 |
| Last Update Date | 03/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063738185 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (Oregon) | Primary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Secondary |
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