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Individual

PATRICK DAVID CLARE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
(CADC I, BSW, PWS)

Contact information

Practice address
313 NE 127TH AVE, PORTLAND, OR 97230-2410
(503) 593-1331
Mailing address
313 NE 127TH AVE, PORTLAND, OR 97230-2410
(503) 593-1331

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
22-06-10447
OR

Other

Enumeration date
03/19/2024
Last updated
03/19/2024
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