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Individual

HARRISON DANLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CADCII

Contact information

Practice address
3610 NE 82ND AVE, PORTLAND, OR 97220-5182
(503) 408-9585
Mailing address
3610 NE 82ND AVE, PORTLAND, OR 97220-5182

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
94-10-84
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
94-10-84
ACCBO
OR
Enumeration date
11/29/2016
Last updated
11/30/2016
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