Individual
THERESA SLOCUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADCI
Contact information
Practice address
506 SW 6TH AVE, PORTLAND, OR 97204-1533
(503) 223-5525
Mailing address
506 SW 6TH AVE, PORTLAND, OR 97204-1533
(503) 223-5525
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CADCI
OR
Other
Enumeration date
03/27/2014
Last updated
03/27/2014
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