Individual
MR. ORLANDO RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
847 NE 19TH AVE, PORTLAND, OR 97232-2684
(503) 238-0769
Mailing address
PO BOX 42321, PORTLAND, OR 97242-0321
(213) 804-7236
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CADC-II
OR
Other
Enumeration date
11/16/2015
Last updated
11/16/2015
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