Individual
SETH PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADCI
Contact information
Practice address
2600 SE BELMONT ST, PORTLAND, OR 97214-2916
(503) 239-5738
(503) 239-8429
Mailing address
4815 NE 16TH AVE, PORTLAND, OR 97211-5039
(503) 249-0750
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
04-07-34
OR
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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