Individual
WILLIAM DELRAY TOLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AAS CADCII,QMHA
Contact information
Practice address
7525 SE LAKE RD, MILWAUKIE, OR 97267-2115
(503) 344-6075
(503) 344-4112
Mailing address
PO BOX 1151, TURNER, OR 97392-1151
(971) 240-2253
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
06-03-46
OR
171M00000X
Case Manager/Care Coordinator
—
OR
Other
Enumeration date
01/30/2007
Last updated
01/10/2013
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