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Individual

MICHELE A PINKHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSS

Contact information

Practice address
1631 SW COLUMBIA ST, PORTLAND, OR 97201-6025
(503) 231-2641
(503) 231-1654
Mailing address
1776 SW MADISON ST, PORTLAND, OR 97205-1715
(971) 386-2278
(503) 224-4494

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
THW0001621
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500729104
OR
Enumeration date
10/26/2016
Last updated
07/21/2022
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