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Organization
PROJECT QUEST
Active
Organization
PROJECT QUEST
Active
Other names
QC Washington County
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID EISEN LAC (EXECUTIVE DIRECTOR)
(503) 238-5203
Entity
Organization
Contact information
Practice address
1815 SW MARLOW AVE, 110, PORTLAND, OR 97225-5185
(503) 238-5203
(503) 238-5202
Mailing address
2901 E BURNSIDE ST, PORTLAND, OR 97214-1831
(503) 238-5203
(503) 238-5202
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
171100000X
Acupuncturist
—
—
Other
Enumeration date
04/19/2017
Last updated
04/19/2017
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