Individual
RENEE L PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC II/CGAC I
Contact information
Practice address
355 NW DIVISION ST, GRESHAM, OR 97030-5523
(971) 225-6695
(503) 231-1654
Mailing address
211 SE CARUTHERS ST, PORTLAND, OR 97214-4502
(971) 386-2278
(503) 224-4494
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
25-04-20563
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
G21-01-07
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500718989
—
OR
Enumeration date
12/30/2016
Last updated
04/22/2025
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