Individual
SUMEYA OMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC-R
Contact information
Practice address
10011 SE DIVISION ST, PORTLAND, OR 97266-1351
(503) 964-5182
(503) 964-5261
Mailing address
9646 N FISKE AVE # 9, PORTLAND, OR 97203-2013
(503) 964-5182
(503) 964-5261
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-24-3942
OR
Other
Enumeration date
09/11/2025
Last updated
09/11/2025
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