Individual
ALEX E MAHLIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
12540 SW MAIN ST STE 202, PORTLAND, OR 97223-6198
(503) 906-9995
(503) 597-7000
Mailing address
12540 SW MAIN ST STE 202, PORTLAND, OR 97223-6198
(503) 906-9995
(503) 597-7000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-17-282
OR
Other
Enumeration date
06/26/2018
Last updated
06/26/2018
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