Individual
MS. HEATHERLIN J RUNNELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRM, CADC-R
Contact information
Practice address
709 NW EVERETT ST, PORTLAND, OR 97209-3517
(503) 209-5794
Mailing address
1027 E BURNSIDE ST, PORTLAND, OR 97214-1328
(503) 239-8400
(971) 271-8268
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
175T00000X
Peer Specialist
18-CRM-095
OR
Other
Enumeration date
06/07/2018
Last updated
12/19/2024
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