Individual
TIMOTHY MARK ADRIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC 1, CRM
Contact information
Practice address
14935 SE 82ND DR, CLACKAMAS, OR 97015-9624
(971) 400-6568
(503) 343-8654
Mailing address
14935 SE 82ND DR, CLACKAMAS, OR 97015-9624
(971) 400-6568
(503) 343-8654
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
23-09-10871
OR
Other
Enumeration date
03/07/2025
Last updated
03/07/2025
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