Individual
DAVID RUNESTRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 571-0884
Mailing address
9810 SE 132ND AVE, HAPPY VALLEY, OR 97086-6152
(503) 913-3280
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000WDBCH
GROUP MEDICARE
OR
05
—
164936
—
OR
Enumeration date
03/09/2010
Last updated
03/08/2022
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