Individual
MR. LARY ASA TURNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC II, CRM, CGRM
Contact information
Practice address
9000 N LOMBARD ST, PORTLAND, OR 97203-3006
(503) 988-0346
Mailing address
9000 N LOMBARD ST, PORTLAND, OR 97203-3006
(503) 764-8373
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
01-11-60
OR
Other
Enumeration date
04/07/2016
Last updated
04/07/2016
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