Individual
AAILEEN SUE CARMELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
808 SW ALDER ST, STE 300, PORTLAND, OR 97205-3133
(503) 226-2203
(503) 223-4231
Mailing address
1776 SW MADISON ST, PORTLAND, OR 97205-1715
(503) 621-1069
(503) 621-0200
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126370
—
OR
Enumeration date
11/02/2005
Last updated
07/08/2007
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