Individual
REBECCA NICOLE STOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC-I
Contact information
Practice address
33 NW BROADWAY, PORTLAND, OR 97209-3580
(971) 271-6229
Mailing address
232 NW 6TH AVE, PORTLAND, OR 97209-3609
(971) 271-6229
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
14-11-13
OR
Other
Enumeration date
04/27/2010
Last updated
06/10/2016
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