Individual
CRAIG D. POIROT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
QMHA CADC CLC
Contact information
Practice address
5725 NE PRESCOTT, PORTLAND, OR 97218-2471
(503) 548-8085
(503) 249-9510
Mailing address
10978 SW DURHAM RD #74, PORTLAND, OR 97224-4887
(503) 381-1038
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
04-11-33
OR
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/22/2007
Last updated
01/16/2008
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