Individual
CASEY FRANCES BOHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC III, QMHP , MS
Contact information
Practice address
6605 SE LAKE RD, MILWAUKIE, OR 97222-2161
(503) 655-8401
(503) 655-8429
Mailing address
2600 SE ORIENT DR APT 9, GRESHAM, OR 97080-9086
(503) 655-8401
(503) 655-8429
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11-03-69
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
19-QMHPC-00309
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/01/2007
Last updated
01/13/2026
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