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Individual

VICTORIA LYNN WEST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CADC11,QMHP-R, MA

Contact information

Practice address
11118 SE HOLGATE BLVD, PORTLAND, OR 97266-3302
(503) 657-6074
Mailing address
200 SE 7TH AVE, PORTLAND, OR 97214-1200
(503) 235-0131
(503) 239-7390

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
02/02/2007
Last updated
09/15/2021
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