Individual
MICHEL R MEIFFREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, MAC, CADC I
Contact information
Practice address
185 4TH ST, # 2, ASTORIA, OR 97103-4359
(503) 338-8106
Mailing address
185 4TH ST, # 2, ASTORIA, OR 97103-4359
(503) 338-8106
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
07-09-32
OR
Other
Enumeration date
04/01/2010
Last updated
04/01/2010
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