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Individual

DOUGLAS K O'DELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.A.

Contact information

Practice address
10163 SE SUNNYSIDE RD STE 490, CLACKAMAS, OR 97015-5720
(503) 513-4413
Mailing address
1395 CORNELL AVE, GLADSTONE, OR 97027-4607
(503) 657-7232

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
OR 97-04-47
OR

Other

Enumeration date
08/23/2006
Last updated
07/08/2007
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