OrganizationActive
Life Works Northwest
NPI 1801347943 · Substance Abuse Rehabilitation Facility · Portland, OR
Provider details
- NPI number
- 1801347943
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Crystal Graves, Mentor(503) 856-4571
Specialties & taxonomies
Residential Treatment Facilities
Practice location
14600 Nw Cornell Rd
Portland, OR 97229-5442
Phone: (503) 856-4571
Approximate (ZIP-level) locationGet directions
Mailing address
14600 Nw Cornell Rd
Portland, OR 97229
Registry dates
- Enumerated
- 2016-10-24
- Last updated
- 2016-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.