Individual
KORY RADUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6011 NE OREGON ST, PORTLAND, OR 97213-4300
(971) 256-5766
Mailing address
6011 NE OREGON ST, PORTLAND, OR 97213-4300
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/02/2016
Last updated
08/10/2024
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