Individual
ANTHONY RENE SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17882 SE MCLOUGHLIN BLVD, MILWAUKIE, OR 97267-6103
(503) 353-9415
(503) 353-9409
Mailing address
17882 SE MCLOUGHLIN BLVD, MILWAUKIE, OR 97267-6103
(503) 353-9415
(503) 353-9409
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
22-06-10438
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/06/2020
Last updated
08/29/2024
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