Individual
RANDI ALLDRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRM, CADC I
Contact information
Practice address
112 BEAVERCREEK RD, OREGON CITY, OR 97045-4302
(503) 238-5203
Mailing address
2901 E BURNSIDE ST, PORTLAND, OR 97214-1831
(971) 225-8127
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
OR
175T00000X
Peer Specialist
Primary
15-CRM-061
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194106229
—
OR
Enumeration date
06/15/2015
Last updated
10/04/2018
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