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Individual

REGINAL STROUGHTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRM, CGAC1, CADC1 AP

Contact information

Practice address
5257 NE MARTIN LUTHER KING JR STE 201, PORTLAND, OR 97211-3283
(503) 676-3710
(503) 430-5403
Mailing address
10564 SE WASHINGTON ST, PORTLAND, OR 97216-2809
(503) 888-6065
(503) 228-9558

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12-CRM-046
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor

Other

Enumeration date
05/11/2017
Last updated
09/25/2018
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