Individual
ERICK ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC1
Contact information
Practice address
1817 NE 6TH AVE, PORTLAND, OR 97212-3960
(503) 719-7985
Mailing address
PO BOX 16816, PORTLAND, OR 97292-0816
(503) 890-7356
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
21-1010253
OR
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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