Individual
DAVID JOHN KOHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2415 SE 43RD AVE, SUITE 100, PORTLAND, OR 97206-1600
(503) 238-0705
(503) 236-7166
Mailing address
2415 SE 43RD AVE, SUITE 100, PORTLAND, OR 97206-1600
(503) 238-0705
(503) 236-7166
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
02-03-28
OR
1041C0700X
Clinical Social Worker
Primary
1706
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
089784006
BC/BS
OR
Enumeration date
11/17/2005
Last updated
09/06/2012
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