Individual
ADAM C WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
521 SW 11TH AVE, SUITE 200, PORTLAND, OR 97205-2634
(503) 944-1226
Mailing address
1123 NE EMERSON ST, PORTLAND, OR 97211-4338
(503) 951-3551
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
OR
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/20/2006
Last updated
03/04/2008
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