Individual
CALLIE MAE DIPPEL RADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4585 SW 185TH AVE, ALOHA, OR 97078-1557
(503) 591-9280
Mailing address
4585 SW 185TH AVE, ALOHA, OR 97078-1557
(503) 591-9280
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
T-25-5740
OR
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/07/2020
Last updated
09/29/2025
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