Individual
MARK HELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
537 SE ALDER ST, PORTLAND, OR 97214-2231
(503) 236-3033
Mailing address
3055 SE 118TH AVE, PORTLAND, OR 97266-1603
(971) 673-2039
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11-09-24
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
11-CRM-084
OR
Other
Enumeration date
09/22/2014
Last updated
09/22/2014
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