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Individual

CHRISTOPHER M DOUCET

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSS/QMHA-R

Contact information

Practice address
1438 SE DIVISION ST, PORTLAND, OR 97202-1140
(503) 548-0346
(503) 232-5959
Mailing address
211 SE CARUTHERS ST, PORTLAND, OR 97214-4502
(503) 224-1044
(971) 260-0355

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
25-QMHA-R-6626
OR
175T00000X
Peer Specialist
THW000106875
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500810434
OR
Enumeration date
08/25/2022
Last updated
02/21/2025
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