Individual
MS. ANGELA MICHELLE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC APPLICANT
Contact information
Practice address
400 NE 7TH ST, GRESHAM, OR 97030-5604
(503) 661-5455
Mailing address
39275 HOOD ST APT G, SANDY, OR 97055-9439
(503) 668-5373
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
04/26/2007
Last updated
09/21/2007
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