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Individual

BRUCE A. PRESTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CADCII QMHA

Contact information

Practice address
9268 SE CLINTON ST, PORTLAND, OR 97266-1456
(503) 872-0480
(503) 872-0481
Mailing address
14332 SE CRYSTAL SPRINGS BLVD, PORTLAND, OR 97236-5358
(503) 760-6167

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
01/22/2007
Last updated
09/11/2025
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