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Individual

TODD VEROS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CSWA, MSW, MED

Contact information

Practice address
14600 NW CORNELL RD, PORTLAND, OR 97229
(503) 684-1424
Mailing address
8770 SW SCOFFINS ST, TIGARD, OR 97223-6226
(503) 684-1424

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A4148
OR
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
A4148
OR

Other

Enumeration date
08/27/2013
Last updated
08/17/2018
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