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Individual

PRESTON FABRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PWS, CRM II

Contact information

Practice address
355 NW DIVISION ST, GRESHAM, OR 97030-5523
(503) 231-2641
Mailing address
211 SE CARUTHERS ST, PORTLAND, OR 97214-4502
(971) 217-9008
(971) 260-0355

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
25-CRM-II-0344
OR
175T00000X
Peer Specialist
Primary
108843
OR

Other

Enumeration date
05/20/2026
Last updated
05/22/2026
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