OrganizationActive
Portland Detox
NPI 1649412511 · Substance Abuse Rehabilitation Facility · Portland, OR
Provider details
- NPI number
- 1649412511
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Brad Whisnant, Owner(503) 750-6238
- License
- AC01151 (OR)
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11160 Sw Waverly Pl
Portland, OR 97225-4456
Phone: (503) 750-6238
Street-level locationGet directions
Mailing address
11160 Sw Waverly Pl
Portland, OR 97225-4456
Registry dates
- Enumerated
- 2009-03-24
- Last updated
- 2009-03-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.