Organization
NARA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BOBBI R DAY CDP/CADC II (ATR CORRIDIANTOR/COUNSELOR)
(503) 231-2641
Entity
Organization
Contact information
Practice address
1631 SW COLUMBIA ST, PORTLAND, OR 97201-6025
(503) 231-2641
Mailing address
PO BOX 1569, PORTLAND, OR 97207-1569
(503) 231-2641
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CD 60032337
WA
324500000X
Substance Abuse Rehabilitation Facility
Primary
10-R-30
OR
Other
Enumeration date
07/08/2011
Last updated
07/08/2011
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