Individual
TONY D MUNDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC2
Contact information
Practice address
3580 SE 82ND AVE, PORTLAND, OR 97266-2902
(971) 339-9240
Mailing address
870 82ND DR, GLADSTONE, OR 97027-1803
(503) 659-5515
(503) 594-8193
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
23-12-20367
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
03/03/2016
Last updated
10/16/2024
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