Individual
DUSTIN KENNETH FLOREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1438 SE DIVISION ST, PORTLAND, OR 97202-1140
(971) 261-0544
Mailing address
1438 SE DIVISION ST, PORTLAND, OR 97202-1140
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
23-CRM-2667
OR
172V00000X
Community Health Worker
—
OR
Other
Enumeration date
10/30/2025
Last updated
10/30/2025
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