Individual
CHAZ A CONTRERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
324 NW DAVIS ST, PORTLAND, OR 97209-3925
(503) 223-4231
Mailing address
839 NW 16TH AVE, PORTLAND, OR 97209-2302
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T24-4684
OR
Other
Enumeration date
12/23/2024
Last updated
12/23/2024
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