Individual
JEFFREY WELLINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW, CADC-I
Contact information
Practice address
727 NE 24TH AVE, PORTLAND, OR 97232-2222
(503) 228-9229
(503) 228-9558
Mailing address
415 SE 28TH AVE, PORTLAND, OR 97214-1809
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/14/2011
Last updated
01/18/2011
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