Individual
BARBARA ADKISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC 1
Contact information
Practice address
2318 NE MLK JR BLVD, PORTLAND, OR 97212-3715
(503) 328-0270
Mailing address
2318 NE MLK JR BLVD, PORTLAND, OR 97212-3715
(503) 328-0270
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16-12-07
OR
Other
Enumeration date
04/21/2017
Last updated
04/21/2017
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