Individual
CHARLES SCOTT COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, CADCIII
Contact information
Practice address
707 NE COUCH ST, PORTLAND, OR 97232-2922
(503) 233-6090
(503) 542-4623
Mailing address
707 NE COUCH ST, PORTLAND, OR 97232-2922
(503) 233-6090
(503) 542-4623
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
99-03-46
OR
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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