Individual
CARE KARUNA RAFA TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
QMHA
Contact information
Practice address
1030 NE COUCH ST, PORTLAND, OR 97232-3067
(503) 239-8400
Mailing address
1027 E BURNSIDE ST, PORTLAND, OR 97214-1328
(503) 239-8400
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
21-QMHA-R-1302
OR
Other
Enumeration date
07/05/2021
Last updated
11/08/2024
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