Individual
ERIC V OSWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, MAC, CADC III
Contact information
Practice address
33 NW BROADWAY, PORTLAND, OR 97209-3580
(971) 271-6334
(503) 501-5679
Mailing address
232 NW 6TH AVE, PORTLAND, OR 97209-3609
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
13-06-43
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
17-09-14
OR
1041C0700X
Clinical Social Worker
Primary
L8588
OR
Other
Enumeration date
08/14/2013
Last updated
05/05/2023
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