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Individual

DEANNA CHRISTINA NEGRETE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, CADC I

Contact information

Practice address
9911 SE MOUNT SCOTT BLVD, PORTLAND, OR 97266-6302
(503) 258-4200
Mailing address
4310 NE KILLINGSWORTH ST, PORTLAND, OR 97218-1404
(503) 535-1150

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
#10-09-40
OR
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
01/24/2012
Last updated
10/23/2012
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