Individual
ROBERT TIMOTHY PEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
11089 SE WESTCHESTER AVE, HAPPY VALLEY, OR 97086-7092
(503) 307-5203
Mailing address
11089 SE WESTCHESTER AVE, HAPPY VALLEY, OR 97086-7092
(503) 307-5203
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11-03-70
OR
Other
Enumeration date
05/02/2011
Last updated
05/02/2011
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