Individual
DAVID CROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
33 NW BROADWAY, PORTLAND, OR 97209-3580
(503) 228-7134
(503) 501-5679
Mailing address
232 NW 6TH AVE, PORTLAND, OR 97209-3609
(503) 501-5641
(503) 241-7419
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16-CRM-237
OR
Other
Enumeration date
09/19/2017
Last updated
09/19/2017
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