Individual
JUSTINE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12670 NW BARNES RD STE 200, PORTLAND, OR 97229-9001
(503) 706-1878
Mailing address
2020 SE 132ND CT, VANCOUVER, WA 98683-6522
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/23/2025
Last updated
01/23/2025
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