Individual
MR. MYRON JOHN WELBES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC I, CRM
Contact information
Practice address
17663 SE 82ND DRIVE, GLADSTONE, OR 97027
(503) 344-6710
Mailing address
17036 S EADEN RD, OREGON CITY, OR 97045-8673
(503) 915-9110
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
06-07-48
OR
175T00000X
Peer Specialist
Primary
13-CRM-075
OR
Other
Enumeration date
02/15/2007
Last updated
07/07/2015
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