Individual
MR. VICENTE HENRY RODAS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC1, QMHA
Contact information
Practice address
4585 SW 185TH AVE, ALOHA, OR 97007-1557
(503) 318-5178
Mailing address
4585 SW 185TH AVE, ALOHA, OR 97007-1557
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
09-09-46
OR
Other
Enumeration date
10/25/2012
Last updated
10/25/2012
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