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Individual

JEFFERY TODD CARNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CADC 2/ QMHA 1

Contact information

Practice address
870 82ND DR # C, GLADSTONE, OR 97027-1803
(503) 659-5515
(503) 594-8193
Mailing address
324 NW DAVIS ST, PORTLAND, OR 97205

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
18-11-11
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
03/09/2016
Last updated
01/22/2024
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