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Individual

REBECCA LANGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CADCI

Contact information

Practice address
1312 SW WASHINGTON ST, PORTLAND, OR 97205-2327
(503) 535-1180
(503) 535-1163
Mailing address
6820 SW DOVER ST, PORTLAND, OR 97225-1010
(503) 535-1180
(503) 535-1163

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
99-07-22
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
64276
NAADAC
OR
01
99-07-22
CADCI
OR
Enumeration date
01/03/2014
Last updated
01/03/2014
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