Individual
TONY JAMES VEZINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSW, CRM, PSS, CADC
Contact information
Practice address
12670 NW BARNES RD STE 200, PORTLAND, OR 97229-9001
(971) 248-8899
Mailing address
14036 SE FIRCREST ST, PORTLAND, OR 97236-6621
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
104100000X
Social Worker
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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