Individual
CARTER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC II
Contact information
Practice address
6025 SE BELMONT ST, PORTLAND, OR 97215-1927
(971) 205-7557
Mailing address
6025 SE BELMONT ST, PORTLAND, OR 97215-1927
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
24-07-20455
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
A061560822
CA
Other
Enumeration date
07/16/2024
Last updated
12/20/2024
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